Provider Demographics
NPI:1891484713
Name:ROUSE, VALERIE JEAN (LMT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:ROUSE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9213 WELBY ROAD TER
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4290
Mailing Address - Country:US
Mailing Address - Phone:303-881-1830
Mailing Address - Fax:
Practice Address - Street 1:8941 HARLAN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2931
Practice Address - Country:US
Practice Address - Phone:303-881-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002127204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine