Individual
MR. MICHAEL RAY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
245 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(719) 520-9700
(719) 520-0218
Mailing address
245 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(719) 520-9700
(719) 520-0218
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
2881
—
224P00000X
Prosthetist
Primary
2881
—
Other
Enumeration date
04/12/2018
Last updated
06/16/2018
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