Provider Demographics
NPI:1952590093
Name:BROWN, GERRI ANN (RPT)
Entity Type:Individual
Prefix:MS
First Name:GERRI
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 88
Mailing Address - Street 2:
Mailing Address - City:IDLEDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80453-0088
Mailing Address - Country:US
Mailing Address - Phone:303-697-4375
Mailing Address - Fax:303-697-4375
Practice Address - Street 1:1655 EATON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-1628
Practice Address - Country:US
Practice Address - Phone:303-669-2057
Practice Address - Fax:303-233-3250
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist