Doctor Name: | DR. ELIZABETH SHOEMAKER KEVIL |
NPI Number: | 1093931297 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, OCS, CSCS |
License Number: | 12204 |
Business Practice Address: | 10101 Ridgegate Pkwy Lone Tree, CO - 801245522 |
Business Phone Number: | 7202251010 |
Business Fax Number: | |
Mailing Address: | 10101 Ridgegate Pkwy, LONE TREE |
State: | CO |
Postal Code: | 801245522 |
Phone Number: | 7202251010 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 12204 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |