Provider Demographics
NPI:1447028337
Name:FRANCIS, TRISTA (ATC)
Entity type:Individual
Prefix:
First Name:TRISTA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10856 GREYCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:HGHLNDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5754
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10856 GREYCLIFFE DR
Practice Address - Street 2:
Practice Address - City:HGHLNDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5754
Practice Address - Country:US
Practice Address - Phone:303-246-5773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0396024002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer