Healthcare Provider Details

I. General information

NPI: 1760675144
Provider Name (Legal Business Name): ANDREA METZGER D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 GLENCOE ST
DENVER CO
80220-2558
US

IV. Provider business mailing address

1295 GLENCOE ST
DENVER CO
80220-2558
US

V. Phone/Fax

Practice location:
  • Phone: 303-915-5244
  • Fax:
Mailing address:
  • Phone: 303-915-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number9718
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: