Individual
GRACE MAINWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1625 MEDICAL CENTER PT STE 180, COLORADO SPRINGS, CO 80907-5798
(719) 344-9497
Mailing address
2430 RESEARCH PKWY, STE 100, COLORADO SPRINGS, CO 80920-1093
(719) 623-1050
(719) 623-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000151
TEMP LICENSE
CO
Enumeration date
06/26/2019
Last updated
03/15/2021
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