Individual
MADELINE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PT, DPT
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(970) 722-1060
(970) 722-1099
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(970) 722-1060
(970) 722-1099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018883
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL0018883
LICENSE
CO
Enumeration date
02/06/2019
Last updated
04/14/2025
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