Individual
DR. CODY JAMES DE LA MATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
406 HYLAND PARK DR STE F, GLENWOOD SPRINGS, CO 81601-4270
(970) 945-0506
Mailing address
650 BIRCH CT, RIFLE, CO 81650-2955
(714) 472-8750
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTL.0017265
CO
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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