Individual
BAILEY BREANN KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(806) 881-3940
Mailing address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(806) 881-3940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014162
CO
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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