Provider Demographics
NPI:1285751230
Name:TSCHOEPE, BARBARA ANN (PT PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:TSCHOEPE
Suffix:
Gender:F
Credentials:PT PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 BASELINE RD
Mailing Address - Street 2:D 107
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2699
Mailing Address - Country:US
Mailing Address - Phone:303-499-6818
Mailing Address - Fax:303-499-0853
Practice Address - Street 1:4800 BASELINE RD
Practice Address - Street 2:D 107
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2699
Practice Address - Country:US
Practice Address - Phone:303-499-6818
Practice Address - Fax:303-499-0853
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1593225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO96358351Medicaid
CO1593OtherPT COLORADO LICENSE
CO96358351Medicaid
CO1593OtherPT COLORADO LICENSE