Individual
TODD ALLAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4760 W OLD FARM CIR, COLORADO SPRINGS, CO 80917-1028
(719) 321-5376
Mailing address
4760 W OLD FARM CIR, COLORADO SPRINGS, CO 80917-1028
(719) 321-5376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12360
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12360
MEDICARE
CO
Enumeration date
10/10/2012
Last updated
10/10/2012
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