Provider Demographics
NPI:1740608702
Name:REASONER, PIPER L (ATC)
Entity Type:Individual
Prefix:MS
First Name:PIPER
Middle Name:L
Last Name:REASONER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:PIPER
Other - Middle Name:L
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:12346 NATE CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6600
Mailing Address - Country:US
Mailing Address - Phone:720-201-1657
Mailing Address - Fax:
Practice Address - Street 1:22219 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-6312
Practice Address - Country:US
Practice Address - Phone:303-387-4699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00006102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer