# RANGE PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1538936539
- **Authorized official:** JORDAN FRED PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (720) 527-8726

## Contact information

- **Practice address:** 1821 METCALF CT, ERIE, CO 80516-8952
- **Practice address phone:** (720) 527-8726
- **Mailing address:** 1821 METCALF CT, ERIE, CO 80516-8952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2023
- **Last updated:** 12/08/2023