Individual
MRS. MISTY DAWN BOYLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1604 STELLA DR, COLORADO SPRINGS, CO 80921-2170
(719) 488-1324
(719) 487-8415
Mailing address
1604 STELLA DR, COLORADO SPRINGS, CO 80921-2170
(719) 488-1324
(719) 487-8415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6017
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37701541
—
CO
Enumeration date
06/16/2006
Last updated
07/08/2007
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