Provider Demographics
NPI:1780152595
Name:DORRIS, ZOE SHANNON (PT, DPT)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:SHANNON
Last Name:DORRIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7151 QUEBEC ST APT S
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-2185
Mailing Address - Country:US
Mailing Address - Phone:814-528-2898
Mailing Address - Fax:
Practice Address - Street 1:7400 E HAMPDEN AVE UNIT C-3
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4861
Practice Address - Country:US
Practice Address - Phone:303-221-1474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist