Individual
GRANT BERTHELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 58TH AVE, GREELEY, CO 80634-4814
(970) 356-9800
Mailing address
1421 GALILEE LN, LONGMONT, CO 80504-9002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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