Individual
CHERYL MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12127 W COOPER DR, LITTLETON, CO 80127-4861
(303) 399-2129
Mailing address
935 STEELE ST, DENVER, CO 80206-3946
(303) 399-2129
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2970
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13807323
—
CO
Enumeration date
05/25/2015
Last updated
01/28/2016
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