Organization
NIKI AVERY PEDIATRIC PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI AVERY MS,PT (PHYSICAL THERAPIST)
(970) 590-2893
Entity
Organization
Contact information
Practice address
1050 37TH ST, EVANS, CO 80620
(970) 590-2893
Mailing address
1050 37TH ST, EVANS, CO 80620-2115
(970) 590-2893
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
07/12/2018
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