Provider Demographics
NPI:1780993139
Name:PECK, CHRISTIE BROWNE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:BROWNE
Last Name:PECK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:BROWNE
Other - Last Name:MCMURTRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:14000 E ARAPAHOE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4044
Mailing Address - Country:US
Mailing Address - Phone:720-497-6110
Mailing Address - Fax:720-497-6739
Practice Address - Street 1:14000 E ARAPAHOE RD STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4044
Practice Address - Country:US
Practice Address - Phone:720-497-6110
Practice Address - Fax:720-497-6739
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0019456225100000X
CO194562251X0800X
WAPT60153863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist