# RED LADY SPINE & SPORTS PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134270085
- **Authorized official:** MS. SHELLEY R THOMAS PT (PHYSICAL THERAPIST)
- **Authorized official phone:** 97803492772

## Contact information

- **Practice address:** 427 BELLEVIEW AVE., SUITE 105, CRESTED BUTTE, CO 81224-1117
- **Practice address phone:** (970) 349-2772
- **Practice address fax:** (970) 349-0459
- **Mailing address:** PO BOX 1117, CRESTED BUTTE, CO 81224-1117
- **Mailing address phone:** (970) 349-2772
- **Mailing address fax:** (970) 349-0459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3665 | CO | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 01/17/2008