Provider Demographics
NPI:1790706828
Name:LEDOUX, CHERIE V (DPT)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:V
Last Name:LEDOUX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 S HAVANA ST
Mailing Address - Street 2:STE F337
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5004
Mailing Address - Country:US
Mailing Address - Phone:303-866-7065
Mailing Address - Fax:
Practice Address - Street 1:1555 S HAVANA ST
Practice Address - Street 2:STE F337
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5004
Practice Address - Country:US
Practice Address - Phone:303-866-7065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist