Healthcare Provider Details

I. General information

NPI: 1437378387
Provider Name (Legal Business Name): STEPHANIE BROWNING BRAUN MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W SOUTH BOULDER RD SUITE 210
LAFAYETTE CO
80026-2752
US

IV. Provider business mailing address

1435 MONROE PL
LOUISVILLE CO
80027-1560
US

V. Phone/Fax

Practice location:
  • Phone: 303-604-4664
  • Fax: 303-604-4670
Mailing address:
  • Phone: 303-604-6613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL.0007679
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: