Most Relevant Information
Provider Data
| NPI Number: | 1003594870 |
| Provider Name: | LANEY MARIE MOFFITT |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 0015375 |
Most Important Dates
| Enumeration Date: | 07/10/2023 |
| Last Updated: | 07/10/2023 |
Provider Practice Location
6840 S UNIVERSITY BLVD STE 400
CENTENNIAL
CO
801221510
Practice Location Phone/Fax
| Phone: | 3037715120 |
| Fax: |
Provider Mailing Location
9850 ZENITH MERIDIAN DR APT 14-106
ENGLEWOOD
CO
801126329
Provider Mailing Phone/Fax
| Phone: | 6053810557 |
| Fax: |