Healthcare Provider Details

I. General information

NPI: 1174869192
Provider Name (Legal Business Name): ANDREW EDWARDS LITTMANN P.T., PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD MAIL CODE G-4
DENVER CO
80221-1154
US

IV. Provider business mailing address

3333 REGIS BLVD MAIL CODE G-4
DENVER CO
80221-1154
US

V. Phone/Fax

Practice location:
  • Phone: 303-964-6492
  • Fax:
Mailing address:
  • Phone: 303-964-6492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number0003265
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: