Healthcare Provider Details

I. General information

NPI: 1992667869
Provider Name (Legal Business Name): MARISSA PLOESSL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 E ALAMEDA AVE
DENVER CO
80247-5104
US

IV. Provider business mailing address

7363 S SCOTTSBURG WAY
AURORA CO
80016-5463
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRTL.0009706
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: