Provider Demographics
NPI:1992181846
Name:FOSHEIM, EMILY DANA (DPT)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:DANA
Last Name:FOSHEIM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:DANA
Other - Last Name:BESANCENEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 W DRY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4484
Mailing Address - Country:US
Mailing Address - Phone:303-795-0428
Mailing Address - Fax:303-795-2790
Practice Address - Street 1:11 W DRY CREEK CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-795-0428
Practice Address - Fax:303-795-2790
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015027159225100000X
COPTL.0015184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist