Provider Demographics
NPI:1245740430
Name:DENNER-ADAMS, GRETCHEN HILARY (PTA)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:HILARY
Last Name:DENNER-ADAMS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:HILARY
Other - Last Name:DENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:14484 E COLORADO DR UNIT 204
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5927
Mailing Address - Country:US
Mailing Address - Phone:720-584-0563
Mailing Address - Fax:
Practice Address - Street 1:14484 E COLORADO DR UNIT 204
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5927
Practice Address - Country:US
Practice Address - Phone:720-584-0563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12181225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant