Individual
MR. MARK EDWARD DEYSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
151 WEST LAKE STREET, FORT COLLINS, CO 80523-8031
(970) 491-1719
(970) 491-5306
Mailing address
151 WEST LAKE STREET, FORT COLLINS, CO 80523-8031
(970) 491-1719
(970) 491-5306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0010240
CO
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/30/2005
Last updated
07/29/2019
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