Basic Information
| Provider Information | |||||||||
| NPI: | 1497251607 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LASNIER | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | THERESA | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68606 E CTY RD 38 | ||||||||
| Address2: | |||||||||
| City: | BYERS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7209877070 | ||||||||
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| Practice Location | |||||||||
| Address1: | 56171 E COLFAX AVE UNIT 6 | ||||||||
| Address2: | |||||||||
| City: | STRASBURG | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036226688 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2018 | ||||||||
| LastUpdateDate: | 04/05/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.