Individual
JOHN V DESIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6169 S BALSAM WAY STE 110, LITTLETON, CO 80123
(339) 481-1868
(303) 948-1741
Mailing address
6169 S BALSAM WAY STE 110, LITTLETON, CO 80123-3000
(303) 948-1868
(303) 948-1741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0005430
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52780066
—
CO
Enumeration date
07/13/2006
Last updated
06/13/2023
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