Provider Demographics
NPI:1154566404
Name:DELFAUSSE, COURTNEY SMITH (DPT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:SMITH
Last Name:DELFAUSSE
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 1:8091 SHAFFER PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3716
Mailing Address - Country:US
Mailing Address - Phone:303-913-5463
Mailing Address - Fax:
Practice Address - Street 1:8091 SHAFFER PKWY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3716
Practice Address - Country:US
Practice Address - Phone:303-913-5463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist