Doctor Name: | JENNA DESORMIER |
NPI Number: | 1912930520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., D.P.T., ATC |
License Number: | 8953 |
Business Practice Address: | 720 W 84th Ave Suite 152 Thornton, CO - 802604810 |
Business Phone Number: | 3034260967 |
Business Fax Number: | 3034264241 |
Mailing Address: | 11817 Ridge Pkwy, 1034 BROOMFIELD |
State: | CO |
Postal Code: | 800215083 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |