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Contact Information

ANDREA N LACKIDES, DPT
390 S WILCOX ST STE B
CASTLE ROCK, CO80104-1951
 Phone: 303-839-8068
 Fax: 303-835-3597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANDREA N LACKIDES · (Female)

NPI Number 1144003039
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/15/2023
Last updated 12/26/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # LPT-32567
  • CO License # CP038756T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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