Avelene Ki-CHI Chan Adler, PT, DPT

Individual provider Active NPI Physical Therapist · Lakewood, CO

NPI 1124544119 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1124544119
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0014944 (CO)
Practice address
7395 W Eastman PL
Lakewood, CO 80227-5006
Phone
(720) 838-2909
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0014944COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 0014944 CO Yes

Addresses

Primary practice location

7395 W Eastman PL
Lakewood, CO 80227-5006

Mailing address

7395 W Eastman PL
Lakewood, CO 80227-5006
Phone (720) 838-2909

Other names

  • Avelene Ki-CHI Chan Former name

Other providers in Lakewood, CO

All providers in Lakewood, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.