Individual
CHERYL BURDITT FOOTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
29023 UPPER BEAR CREEK RD, EVERGREEN, CO 80439-7704
(303) 670-1170
Mailing address
33404 UPPER BEAR CREEK RD, EVERGREEN, CO 80439-7811
(303) 670-3145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7730
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80905382
—
CO
Enumeration date
01/15/2007
Last updated
06/20/2008
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