Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 0013809 | CO |
Y | 213ES0000X | Sports Medicine | 0013809 | CO |
NPI | 1255984142 |
---|---|
Provider Name | Christopher Whitmore |
First Address | Denver, CO 80231-3885 |
Second Address | Greenwood Village, CO 80111-2010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2019 |
Last Update Date | 23/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001592 | COLORADO DEPARTMENT OF REGULATORY AGENCIES OFFICE OF ATHLETIC TRAINING (01) | CO |
0013809 | COLORADO DEPARTMENT OF REGULATORY AGENCIES STATE PHYSICAL THERAPY (01) | CO |