Provider Demographics
NPI:1023160173
Name:PARENT, CHERYL (PT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:PARENT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 S JAMAICA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5019
Mailing Address - Country:US
Mailing Address - Phone:720-201-1300
Mailing Address - Fax:888-871-1255
Practice Address - Street 1:2121 S ONEIDA ST STE 521
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2554
Practice Address - Country:US
Practice Address - Phone:720-201-1300
Practice Address - Fax:888-871-1255
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0006246225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist