Organization
COLORADO REHABILITATION PHYS
Active
Organization
COLORADO REHABILITATION PHYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE SHELTON (BUSINESS OFFICE MANAGER)
(719) 776-5673
Entity
Organization
Contact information
Practice address
2222 N NEVADA AVE, STE 5020, COLORADO SPGS, CO 80907-6868
(719) 776-5960
(719) 776-5045
Mailing address
2222 N NEVADA AVE, STE 5020, COLORADO SPGS, CO 80907-6868
(719) 776-5960
(719) 776-5045
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71151753
—
CO
Enumeration date
05/15/2006
Last updated
03/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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