Individual
DR. JOANTHAN TAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
3854 VILLAGE SEVEN RD, COLORADO SPRINGS, CO 80917-2801
(719) 574-8761
(719) 574-8236
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(855) 456-7146
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0014137
CO
Other
Enumeration date
06/22/2016
Last updated
04/15/2017
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