Individual
MICHAEL DERRICK CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
Mailing address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11107
CO
Other
Enumeration date
05/03/2011
Last updated
09/23/2016
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