Healthcare Provider Details

I. General information

NPI: 1467698852
Provider Name (Legal Business Name): JENNIFER M. VERWERS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER M. BANKER

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 11/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 GLENARM PL SUITE B100
DENVER CO
80204-2114
US

IV. Provider business mailing address

7310 S ALTON WAY STE 6L
CENTENNIAL CO
80112-2334
US

V. Phone/Fax

Practice location:
  • Phone: 303-628-0871
  • Fax: 303-628-0873
Mailing address:
  • Phone: 303-629-0871
  • Fax: 303-628-0873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 10258
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: