MEDICARE: JENNIFER LAUFMANN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9092	CO

General Provider Information

NPI Number	:	1235164302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LAUFMANN P.T.

Provider Business Mailing Address
First Line	:	10571 COLORADO BLVD UNIT J205
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80233-3983
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8380 ZUNI ST
Second Line	:	STE. 305
City	:	DENVER
State	:	CO
Zip	:	80221-4778
Country	:	US
Telephone Number	:	303-428-8212
Fax Number	:	303-428-8251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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