Basic Information
Provider Information
NPI: 1902566490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCHMAN
FirstName: SPENCER
MiddleName: ALEC
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2801 YOUNGFIELD ST STE 170
Address2:  
City: GOLDEN
State: CO
PostalCode: 804010210
CountryCode: US
TelephoneNumber: 7208451976
FaxNumber: 7208451958
Practice Location
Address1: 2801 YOUNGFIELD ST # 17
Address2:  
City: GOLDEN
State: CO
PostalCode: 804012263
CountryCode: US
TelephoneNumber: 3034092133
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/23/2021
LastUpdateDate: 12/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X0018100COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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