Provider Demographics
NPI:1427341353
Name:DELGADO, CARLEE JOANN
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:JOANN
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2546
Mailing Address - Country:US
Mailing Address - Phone:303-655-8699
Mailing Address - Fax:303-655-8698
Practice Address - Street 1:2418 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2546
Practice Address - Country:US
Practice Address - Phone:303-655-8699
Practice Address - Fax:303-655-8698
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10383225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist