Basic Information
Provider Information
NPI: 1508590985
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HONEYCUTT
FirstName: DARREN
MiddleName: RICHARD
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8101 E LOWRY BLVD STE 120
Address2:  
City: DENVER
State: CO
PostalCode: 802307195
CountryCode: US
TelephoneNumber: 7208656072
FaxNumber:  
Practice Location
Address1: 8101 E LOWRY BLVD STE 230
Address2:  
City: DENVER
State: CO
PostalCode: 802307195
CountryCode: US
TelephoneNumber: 7205140751
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2022
LastUpdateDate: 09/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTLP.0000261COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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