Provider Demographics
NPI:1477294346
Name:RODRIGUEZ-JASINSKI, GEOFFREY GEORGE (PT, DPT)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:GEORGE
Last Name:RODRIGUEZ-JASINSKI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:GEOFFREY
Other - Middle Name:GEORGE
Other - Last Name:JASINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:1785 INGALLS ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1509
Mailing Address - Country:US
Mailing Address - Phone:858-336-9018
Mailing Address - Fax:
Practice Address - Street 1:1650 N GRANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1602
Practice Address - Country:US
Practice Address - Phone:303-482-1540
Practice Address - Fax:303-482-1545
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300838225100000X
COPTL.0019836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist