Provider Demographics
NPI:1962461533
Name:SLINN, BRUNI E (PT)
Entity Type:Individual
Prefix:
First Name:BRUNI
Middle Name:E
Last Name:SLINN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20981 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5189
Mailing Address - Country:US
Mailing Address - Phone:720-870-8900
Mailing Address - Fax:720-870-8901
Practice Address - Street 1:20981 E SMOKY HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5188
Practice Address - Country:US
Practice Address - Phone:720-870-8900
Practice Address - Fax:720-870-8901
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2857225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCP0933Medicare ID - Type UnspecifiedPROVIDER ID