Provider Demographics
NPI:1457547077
Name:LITTLE, CHRISTIAN NICOLE (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:NICOLE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 REGIS BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1154
Mailing Address - Country:US
Mailing Address - Phone:303-458-4126
Mailing Address - Fax:303-458-4126
Practice Address - Street 1:3333 REGIS BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1154
Practice Address - Country:US
Practice Address - Phone:303-458-4126
Practice Address - Fax:303-458-4126
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33968174400000X
CO109312251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No174400000XOther Service ProvidersSpecialist