Organization
ADVANCED PHYSICAL THERAPY AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S CLEVELAND DPT (PRESIDENT/OWNER)
(970) 301-3149
Entity
Organization
Contact information
Practice address
5701 W 20TH ST, GREELEY, CO 80634-2914
(970) 301-3149
Mailing address
1951 HARVARD PL, LOVELAND, CO 80538-8790
(970) 301-3149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA109222
MEDICARE PTAN
CO
Enumeration date
08/30/2012
Last updated
01/19/2013
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