Provider Demographics
NPI:1124201363
Name:ZIMMERMAN, ANITA (CMT)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 S CARSON WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4609
Mailing Address - Country:US
Mailing Address - Phone:303-337-4846
Mailing Address - Fax:303-337-4824
Practice Address - Street 1:7505 E 35TH AVE UNIT 390
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2464
Practice Address - Country:US
Practice Address - Phone:303-337-4846
Practice Address - Fax:303-337-4824
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1311174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist