Provider Demographics
NPI:1306987359
Name:BAINTON, VALERIE JOYCE (PT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOYCE
Last Name:BAINTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 IROQUOIS DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4213
Mailing Address - Country:US
Mailing Address - Phone:303-938-9120
Mailing Address - Fax:
Practice Address - Street 1:125 IROQUOIS DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4213
Practice Address - Country:US
Practice Address - Phone:303-938-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2637OtherP.T. LICENSE