Individual
KENT ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
8540 SCARBOROUGH DR, SUITE 200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
2815 DOROMUS COURT, COLORADO SPRINGS, CO 80920
(719) 282-7746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0006782
CO
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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