MEDICARE: DANIELLE LAWSON DPT

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	PT017886	OH
2	225100000X	Physical Therapist	0017816	CO

General Provider Information

NPI Number	:	1881155000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LAWSON DPT

Provider Business Mailing Address
First Line	:	9967 QUINTERO ST
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-8927
Country	:	US
Telephone Number	:	636-399-7949
Fax Number	:

Provider Business Practice Location Address
First Line	:	3821 STEELE ST UNIT 1300
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205
Country	:	US
Telephone Number	:	720-515-2582
Fax Number	:

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

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	09/11/2023

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