Organization
CHUCKIES PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESTI SUGGS (OWNER)
(719) 209-3365
Entity
Organization
Contact information
Practice address
8655 KANE RD STE 1, FOUNTAIN, CO 80817-3339
(719) 209-3365
Mailing address
14445 HOLMES RD, COLORADO SPRINGS, CO 80908-3344
(719) 209-3365
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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