Individual
JON FEUERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1130 WEST WOODMAN RD, COLORADO SPRINGS, CO 80919
(719) 574-5562
(719) 471-0445
Mailing address
1130 WEST WOODMAN RD, COLORADO SPRINGS, CO 80919
(719) 574-5562
(719) 471-0445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6134
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78270375
—
CO
Enumeration date
06/29/2007
Last updated
03/04/2011
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