Provider Demographics
NPI:1760869234
Name:PIATT, ZOEY
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:
Last Name:PIATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 S ALTON WAY
Mailing Address - Street 2:SUIE 6L
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2334
Mailing Address - Country:US
Mailing Address - Phone:303-790-4495
Mailing Address - Fax:720-488-1988
Practice Address - Street 1:56171 E. COLFAX AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:STRASBURG
Practice Address - State:CO
Practice Address - Zip Code:80136-0874
Practice Address - Country:US
Practice Address - Phone:303-622-6688
Practice Address - Fax:303-622-6687
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC0017361225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist