Provider Demographics
NPI:1639307788
Name:NANGLE, AMIE (DPT)
Entity type:Individual
Prefix:DR
First Name:AMIE
Middle Name:
Last Name:NANGLE
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 1:3401 QUEBEC ST
Mailing Address - Street 2:3100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2322
Mailing Address - Country:US
Mailing Address - Phone:303-333-3493
Mailing Address - Fax:303-388-8990
Practice Address - Street 1:3401 QUEBEC ST
Practice Address - Street 2:3100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2322
Practice Address - Country:US
Practice Address - Phone:303-333-3493
Practice Address - Fax:303-388-8990
Is Sole Proprietor?:No
Enumeration Date:2009-06-28
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10208225100000X
MA18455225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist