Individual
MR. MICHAEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2775
(970) 313-2777
Mailing address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2775
(970) 313-2777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-5827
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54128854
—
CO
Enumeration date
08/25/2006
Last updated
07/01/2013
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