Organization
GOOD NEWS PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PROCTOR DPT (OWNER)
(719) 469-1940
Entity
Organization
Contact information
Practice address
1220 E 3RD ST, LA JUNTA, CO 81050-1907
(719) 225-2296
(719) 931-5619
Mailing address
1220 E 3RD ST, LA JUNTA, CO 81050-1907
(719) 469-1940
(719) 931-5619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000201915
—
CO
Enumeration date
07/13/2020
Last updated
03/09/2022
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