Provider Demographics
NPI:1942684451
Name:OTTEN, SUSAN LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:LYNN
Last Name:OTTEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:LYNN
Other - Last Name:GERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1371 HECLA DR STE D130
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2318
Mailing Address - Country:US
Mailing Address - Phone:303-963-5582
Mailing Address - Fax:720-307-3538
Practice Address - Street 1:1371 HECLA DR STE D130
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2318
Practice Address - Country:US
Practice Address - Phone:303-963-5582
Practice Address - Fax:720-307-3538
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist