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General NPI Number Information
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NPI Number | 1790721439
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Entity Type | Individual
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Provider Name | JONATHAN J SCHAEFER LPT
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 3900 E. MEXICO AVE., SUITE 210 CENTERPOINT 1
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City | DENVER
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State | CO
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Zip | 80210-3940
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Country | US
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Telephone | 303-691-3733
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Fax | 303-691-1142
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Provider Business Mailing Address
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Address Line | 3900 E. MEXICO AVE., SUITE 210 CENTERPOINT 1
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City | DENVER
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State | CO
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Zip | 80210-3940
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Country | US
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Telephone | 303-691-3733
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Fax | 303-691-1142
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 070009821
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License Number State | IL
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