Basic Information
Provider Information
NPI: 1942543707
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIPFEL
FirstName: AMBER
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1385 S COLORADO BLVD
Address2: BLDG A, SUITE 222
City: DENVER
State: CO
PostalCode: 802223304
CountryCode: US
TelephoneNumber: 3037820900
FaxNumber: 3037820901
Practice Location
Address1: 1385 S COLORADO BLVD
Address2: BLDG A, SUITE 222
City: DENVER
State: CO
PostalCode: 802223304
CountryCode: US
TelephoneNumber: 3037820900
FaxNumber: 3037820901
Other Information
ProviderEnumerationDate: 03/30/2013
LastUpdateDate: 03/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTL.0005862COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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