MEDICARE: MS. DENISE VANEPPS PT

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	7421	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7421	OTHER	CO	PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number	:	1275530321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE VANEPPS PT

Provider Business Mailing Address
First Line	:	7340 S ALTON WAY STE 11-D
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2323
Country	:	US
Telephone Number	:	720-493-1181
Fax Number	:	720-493-1191

Provider Business Practice Location Address
First Line	:	315 W SOUTH BOULDER RD
Second Line	:	100
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-1156
Country	:	US
Telephone Number	:	303-601-6666
Fax Number	:	303-447-3390

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	06/02/2021

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