Provider Demographics
NPI:1871212092
Name:GRETZINGER, MEREDITH (DPT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:GRETZINGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E 10TH AVE APT 801
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3015
Mailing Address - Country:US
Mailing Address - Phone:850-377-8031
Mailing Address - Fax:
Practice Address - Street 1:8500 W CRESTLINE AVE UNIT G5
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2222
Practice Address - Country:US
Practice Address - Phone:303-971-0500
Practice Address - Fax:303-932-7076
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist