Provider Demographics
NPI:1790714509
Name:RITZMANN, SHARI LYNETTE (RPT)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:LYNETTE
Last Name:RITZMANN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350566
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80035-0566
Mailing Address - Country:US
Mailing Address - Phone:303-561-0447
Mailing Address - Fax:303-561-0448
Practice Address - Street 1:11265 DECATUR ST STE 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-4793
Practice Address - Country:US
Practice Address - Phone:303-561-0447
Practice Address - Fax:303-561-0448
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC480408OtherMEDICARE ID