Provider Demographics
NPI:1972200210
Name:BEUTEN, DARRELL GENE (LPTA)
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:GENE
Last Name:BEUTEN
Suffix:
Gender:M
Credentials:LPTA
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Other - Credentials:
Mailing Address - Street 1:9025 GRANT ST
Mailing Address - Street 2:#200
Mailing Address - City:THORNTONN
Mailing Address - State:CO
Mailing Address - Zip Code:80229
Mailing Address - Country:US
Mailing Address - Phone:303-292-0034
Mailing Address - Fax:720-242-9372
Practice Address - Street 1:9025 GRANT ST
Practice Address - Street 2:#200
Practice Address - City:THORNTONN
Practice Address - State:CO
Practice Address - Zip Code:80229
Practice Address - Country:US
Practice Address - Phone:303-292-0034
Practice Address - Fax:720-242-9372
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPTA.0012660225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant