Organization
BUENA VISTA PHYSICAL THERAPY, LLC
Active
Other names
Buena Vista Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID MOORE DPT (OWNER / PHYSICAL THERAPIST)
(719) 297-9009
Entity
Organization
Contact information
Practice address
700 US HWY 24 S, BUENA VISTA, CO 81211
(719) 297-9009
(719) 284-7163
Mailing address
PO BOX 5005, BUENA VISTA, CO 81211-5005
(719) 297-9009
(719) 284-7163
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL0011913
CO
Other
Enumeration date
04/02/2018
Last updated
02/22/2019
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