Healthcare Provider Details

I. General information

NPI: 1033886791
Provider Name (Legal Business Name): SEHER VATANSEVER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 RIDGELINE BLVD STE 102
HIGHLANDS RANCH CO
80129-2354
US

IV. Provider business mailing address

4900 S ULSTER ST APT 4-101
DENVER CO
80237-2888
US

V. Phone/Fax

Practice location:
  • Phone: 720-316-9974
  • Fax: 720-294-0332
Mailing address:
  • Phone: 718-679-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0017929
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: