Provider Demographics
NPI:1366739682
Name:BIEBER, PAULA GAIL (MT, MHA)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:GAIL
Last Name:BIEBER
Suffix:
Gender:F
Credentials:MT, MHA
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:BIEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MT, MHA
Mailing Address - Street 1:131 W CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-1831
Mailing Address - Country:US
Mailing Address - Phone:303-437-8106
Mailing Address - Fax:
Practice Address - Street 1:131 W CEDAR AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-1831
Practice Address - Country:US
Practice Address - Phone:303-437-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist