Individual
CARLEE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12077 E MEXICO AVE, AURORA, CO 80012-5241
(801) 866-7716
Mailing address
12077 E MEXICO AVE, AURORA, CO 80012-5241
(801) 866-7716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014515
CO
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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