Individual
HERB B PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
719 CHERRY ST, CORTEZ, CO 81321-2614
(970) 564-0263
(970) 564-0263
Mailing address
719 CHERRY ST, CORTEZ, CO 81321-2614
(970) 564-0263
(970) 564-0263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6095
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6095
PHYSICAL THERAPY LICENSE
CO
Enumeration date
10/15/2006
Last updated
07/08/2007
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