Individual
MICHAEL CRAIG MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3000 CENTER GREEN DR STE 300, BOULDER, CO 80301-2364
(303) 413-9903
(303) 413-9907
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 756-2579
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305211550
VA
225100000X
Physical Therapist
Primary
PTL.0018839
CO
225100000X
Physical Therapist
—
OR
Other
Enumeration date
09/28/2017
Last updated
01/31/2023
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