Individual
ELLEN MAGEE STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
555 RIVERGATE LN STE B1-108, DURANGO, CO 81301-7473
(970) 422-8575
(970) 900-6654
Mailing address
555 RIVERGATE LN STE B1-108, DURANGO, CO 81301-7473
(970) 422-8575
(970) 900-6654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012016
CO
2251X0800X
Orthopedic Physical Therapist
PTL.0012016
CO
Other
Enumeration date
07/27/2014
Last updated
08/14/2023
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