Provider Demographics
NPI:1861749087
Name:CSEPE, DAVID SCOTT
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:CSEPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 N RUBEY DR
Mailing Address - Street 2:C
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-3215
Mailing Address - Country:US
Mailing Address - Phone:303-279-7703
Mailing Address - Fax:303-278-1037
Practice Address - Street 1:103 N RUBEY DR
Practice Address - Street 2:C
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-3215
Practice Address - Country:US
Practice Address - Phone:303-279-7703
Practice Address - Fax:303-278-1037
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0011845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPTL0011845OtherPT LICENSE