Basic Information
Provider Information
NPI: 1780655811
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: CHRISTIAN
MiddleName: V.
NamePrefix: MR.
NameSuffix:  
Credential: M.S.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11504 W FAIR DR
Address2:  
City: LITTLETON
State: CO
PostalCode: 801272704
CountryCode: US
TelephoneNumber: 3032020126
FaxNumber:  
Practice Location
Address1: 2200 S KIPLING ST
Address2:  
City: LAKEWOOD
State: CO
PostalCode: 802272126
CountryCode: US
TelephoneNumber: 7209635382
FaxNumber: 7209635380
Other Information
ProviderEnumerationDate: 01/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X6506COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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