Individual
ETHAN E GRAMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1721 E 19TH AVE STE 468, DENVER, CO 80218-1242
(303) 830-0018
Mailing address
1721 E 19TH AVE STE 468, DENVER, CO 80218-1242
(303) 830-0018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211318
VA
225100000X
Physical Therapist
Primary
PTL.0016639
CO
Other
Enumeration date
08/25/2017
Last updated
08/17/2020
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