Provider Demographics
NPI:1811328453
Name:CERVANTES, DIANA L (PT)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:L
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5445 DTC PKWY STE 1130
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3038
Mailing Address - Country:US
Mailing Address - Phone:720-749-5599
Mailing Address - Fax:720-925-5897
Practice Address - Street 1:6240 S MAIN ST STE 230
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5377
Practice Address - Country:US
Practice Address - Phone:303-627-5735
Practice Address - Fax:720-925-5897
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT40768225100000X
COPTL.0018768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist