Provider Demographics
NPI:1689842312
Name:HALSEIDE, ANNE LABELLE (PT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:LABELLE
Last Name:HALSEIDE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:K
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:702 W DRAKE RD STE A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5555
Mailing Address - Country:US
Mailing Address - Phone:970-416-8342
Mailing Address - Fax:970-416-8344
Practice Address - Street 1:702 W DRAKE RD STE A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5555
Practice Address - Country:US
Practice Address - Phone:970-416-8342
Practice Address - Fax:970-416-8344
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist