Provider Demographics
NPI:1851685614
Name:CARTER, DEBRA BAILEY (MSPT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:BAILEY
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LILLY
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:6243 S KENTON WAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5730
Mailing Address - Country:US
Mailing Address - Phone:720-254-5191
Mailing Address - Fax:
Practice Address - Street 1:6243 S KENTON WAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-5730
Practice Address - Country:US
Practice Address - Phone:720-254-5191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist