Individual
JUSTIN JACAPRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
30940 STAGECOACH BLVD # 110, EVERGREEN, CO 80439-7984
(303) 674-1594
Mailing address
111 LIAM CT, GUYTON, GA 31312-7109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043187
NY
225100000X
Physical Therapist
Primary
CP043012T
CO
2255A2300X
Athletic Trainer
002559
NY
Other
Enumeration date
05/20/2014
Last updated
03/20/2025
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