Provider Demographics
NPI:1306636220
Name:CHAFFEE, GARRETT
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:CHAFFEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21255 MOUNT FALCON RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN HILLS
Mailing Address - State:CO
Mailing Address - Zip Code:80454-5072
Mailing Address - Country:US
Mailing Address - Phone:973-668-6113
Mailing Address - Fax:
Practice Address - Street 1:7447 E BERRY AVE STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2142
Practice Address - Country:US
Practice Address - Phone:303-331-6744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0027455225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist