Provider Demographics
NPI:1710179338
Name:GREER, RAYANN L (DPT)
Entity Type:Individual
Prefix:MRS
First Name:RAYANN
Middle Name:L
Last Name:GREER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RAYANN
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4440 ARAPAHOE AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-9101
Mailing Address - Country:US
Mailing Address - Phone:303-444-2529
Mailing Address - Fax:303-444-2563
Practice Address - Street 1:10155 WESTMOOR DR STE 185
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-2601
Practice Address - Country:US
Practice Address - Phone:303-444-2529
Practice Address - Fax:303-444-2563
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97192251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO810040Medicare PIN