MEDICARE: SYDNEY CLAIRE GETTEL PA-C, PTA

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	225200000X	Physical Therapy Assistant	0013888	CO
2	363A00000X	Physician Assistant	PA.0007893	CO

General Provider Information

NPI Number	:	1598254351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY CLAIRE GETTEL PA-C, PTA

Provider Business Mailing Address
First Line	:	1435 GARRISON ST STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4748
Country	:	US
Telephone Number	:	207-724-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 GARRISON ST STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4748
Country	:	US
Telephone Number	:	720-724-3668
Fax Number	:

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

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	07/23/2024

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