Provider Demographics
NPI:1992055230
Name:SAINT ANDRE, AIMEE NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:NICOLE
Last Name:SAINT ANDRE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 S MILWAUKEE ST APT 9
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3555
Mailing Address - Country:US
Mailing Address - Phone:309-642-2593
Mailing Address - Fax:
Practice Address - Street 1:2054 S MILWAUKEE ST APT 9
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3555
Practice Address - Country:US
Practice Address - Phone:309-642-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist