Provider Demographics
NPI:1184735482
Name:LINDER-WETERRINGS, ANNELIE MARIA (PT)
Entity type:Individual
Prefix:
First Name:ANNELIE
Middle Name:MARIA
Last Name:LINDER-WETERRINGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-3405
Mailing Address - Country:US
Mailing Address - Phone:303-466-6463
Mailing Address - Fax:303-466-1250
Practice Address - Street 1:5760 W 120TH AVE
Practice Address - Street 2:STE 200
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-5905
Practice Address - Country:US
Practice Address - Phone:303-466-6463
Practice Address - Fax:303-466-1250
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82301778Medicaid