Provider Demographics
NPI:1760814107
Name:CROGHAN, ANN (DPT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:CROGHAN
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 1:137 HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:PONCHA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81242-5055
Mailing Address - Country:US
Mailing Address - Phone:303-883-0124
Mailing Address - Fax:
Practice Address - Street 1:137 HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:PONCHA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81242-5055
Practice Address - Country:US
Practice Address - Phone:303-883-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0012338225100000X
CO0012338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist