Provider Demographics
NPI:1730697822
Name:MONRAD, EVE A (DPT)
Entity type:Individual
Prefix:DR
First Name:EVE
Middle Name:A
Last Name:MONRAD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 DRIFTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3151
Mailing Address - Country:US
Mailing Address - Phone:707-326-0783
Mailing Address - Fax:
Practice Address - Street 1:297 N US HIGHWAY 287 STE 105
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8953
Practice Address - Country:US
Practice Address - Phone:720-772-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL00153642251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic