Provider Demographics
NPI:1700530268
Name:VARELA, CINDY JAQUELINE (PTA)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:JAQUELINE
Last Name:VARELA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 KALISPELL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5687
Mailing Address - Country:US
Mailing Address - Phone:303-775-5124
Mailing Address - Fax:
Practice Address - Street 1:5115 KALISPELL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-5687
Practice Address - Country:US
Practice Address - Phone:303-775-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015139225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant