Basic Information
| Provider Information | |||||||||
| NPI: | 1730513318 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | EVERS | ||||||||
| FirstName: | ERIN | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 416 S LEYDEN ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802241249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356591459 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4348 WOODLANDS BOULEVARD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CASTLE ROCK, CO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036605349 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2013 | ||||||||
| LastUpdateDate: | 08/30/2013 | ||||||||
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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 | 225100000X | PTL.0012246 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.