Provider Demographics
NPI:1689441032
Name:TRAN, STEPHANIE T
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:T
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W MINERAL AVE STE 116A
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4510
Mailing Address - Country:US
Mailing Address - Phone:303-798-5602
Mailing Address - Fax:
Practice Address - Street 1:151 W MINERAL AVE STE 116A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4510
Practice Address - Country:US
Practice Address - Phone:303-798-5602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304806225100000X
COPTL0020537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist