Provider Demographics
NPI:1184766883
Name:TAO, CHRISTINE ANNE (PT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNE
Last Name:TAO
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 1:9658 WESTBURY WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6274
Mailing Address - Country:US
Mailing Address - Phone:808-221-0701
Mailing Address - Fax:
Practice Address - Street 1:6970 S HOLLY CIR STE 200
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1066
Practice Address - Country:US
Practice Address - Phone:720-287-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107162251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI529985OtherALOHA CARE
WA142259OtherDEPT OF LABOR WASHINGTON
HI0080239489OtherHMSA
HI0080239489OtherHMSA
WA142259OtherDEPT OF LABOR WASHINGTON