Individual
MR. CHRISTOPHER S DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
15909 JACKSON CREEK PKWY STE 105, MONUMENT, CO 80132
(719) 481-0899
(719) 481-0897
Mailing address
15909 JACKSON CREEK PKWY STE 105, MONUMENT, CO 80132-8693
(719) 481-0899
(719) 481-0897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0006781
CO
225100000X
Physical Therapist
2305205880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0392740
MEDICAID WELFARE
—
05
—
0392740
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
7509675
AETNA US HEALTHCARE
—
01
—
785950
MVP HEALTH CARE
—
01
—
90547
FALLON COMMUNITY HEALTH P
—
01
—
Y68346
BLUE SHIELD HMO BLUE
—
01
—
Y69423
MEDICARE B
—
Enumeration date
01/18/2006
Last updated
08/20/2019
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