Provider Demographics
NPI:1699305441
Name:KNUTZEN, CHELSEY (ATC)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:KNUTZEN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10983 TWIN CUBS TRL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9265
Mailing Address - Country:US
Mailing Address - Phone:303-204-0101
Mailing Address - Fax:
Practice Address - Street 1:10983 TWIN CUBS TRL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9265
Practice Address - Country:US
Practice Address - Phone:303-204-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20000230412255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer