Provider Demographics
NPI:1336754183
Name:RECHTIEN, JILL O (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:O
Last Name:RECHTIEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 S WADSWORTH BLVD STE A-2
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5026
Mailing Address - Country:US
Mailing Address - Phone:303-993-4438
Mailing Address - Fax:
Practice Address - Street 1:3255 S WADSWORTH BLVD STE A-2
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5026
Practice Address - Country:US
Practice Address - Phone:303-993-4438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0016983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPTL.0016983OtherLICENSE NUMBER