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
6375 LEHMAN DR STE 100, COLORADO SPRINGS, CO 80918-1427
(719) 434-7044
(719) 375-1276
Mailing address
6375 LEHMAN DR STE 100, COLORADO SPRINGS, CO 80918-1427
(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
06/29/2026
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