Individual provider · NPI-1

Savannah Dane Bannister, PTA

Physical Therapy Assistant · Denver, CO

NPI number1982379939
StatusActive
Last updated in NPPESAug 11, 2021

Details

NPI
1982379939
Entity type
Individual (NPI-1)
Name
Savannah Dane Bannister
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2021
Certification date
Aug 11, 2021
Last updated
Aug 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant0014824COYes

Practice location

4500 E Cherry Creek South Dr Ste 710
Denver, CO 80246-1534

Phone 303-432-8487

Mailing address

1485 Falcon Valley Hghts
Apt 301
Colorado Springs, CO 80921

Phone 719-351-9243

Other practice locations

1485 Falcon Valley Hts Apt 301
Colorado Springs, CO 80921-4175

Phone 719-351-9243

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