Provider Demographics
NPI:1740695105
Name:CAUTHRON, HOLLY ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:ELIZABETH
Last Name:CAUTHRON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 W 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2025
Mailing Address - Country:US
Mailing Address - Phone:303-781-7862
Mailing Address - Fax:303-781-7864
Practice Address - Street 1:4901 W 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2025
Practice Address - Country:US
Practice Address - Phone:303-781-7862
Practice Address - Fax:303-781-7864
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0061185204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program