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Organization

DYNAMIC PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY LYN WELFEL (PRESIDENT)
(719) 434-7044
Entity
Organization

Contact information

Practice address
2855 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3144
(719) 494-1002
(719) 494-1824
Mailing address
5775 N UNION BLVD, COLORADO SPRINGS, CO 80918-1744
(719) 434-7044
(719) 375-1276

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
68501030
CO
01
DG0530
RAILROAD MEDICARE
CO
Enumeration date
12/07/2006
Last updated
03/18/2025
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