Healthcare Provider Details

I. General information

NPI: 1871952432
Provider Name (Legal Business Name): CRICKETT RIPPLEY MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8510 BRYANT ST SUITE 130
WESTMINSTER CO
80031-3844
US

IV. Provider business mailing address

2909 GALWAY CT
BROOMFIELD CO
80023-4252
US

V. Phone/Fax

Practice location:
  • Phone: 720-497-6666
  • Fax:
Mailing address:
  • Phone: 720-938-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL 0005727
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: