Provider Demographics
NPI:1952565806
Name:OSTRY, LAUREN LYNN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:LYNN
Last Name:OSTRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:LYNN
Other - Last Name:BUELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:6169 SOUTH BALSAM WAY
Mailing Address - Street 2:STE 110
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3000
Mailing Address - Country:US
Mailing Address - Phone:303-948-1868
Mailing Address - Fax:303-948-1741
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:STE 110
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3000
Practice Address - Country:US
Practice Address - Phone:303-948-1868
Practice Address - Fax:303-948-1741
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10051OtherPHYSICAL THERAPIST
CO10051OtherPHYSICAL THERAPIST