Provider Demographics
NPI:1730496787
Name:GLASSMAN, DANA KAY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:KAY
Last Name:GLASSMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5086 S SHENANDOAH WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1734
Mailing Address - Country:US
Mailing Address - Phone:303-332-5946
Mailing Address - Fax:
Practice Address - Street 1:15751 E 1ST AVE STE 114
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9023
Practice Address - Country:US
Practice Address - Phone:303-332-5946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist