Individual
JEFFREY ROBERT FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1760 E KEN PRATT BLVD STE 405, LONGMONT, CO 80504-5311
(720) 718-5400
(720) 718-8991
Mailing address
1760 E KEN PRATT BLVD STE 405, LONGMONT, CO 80504-5311
(720) 718-5400
(720) 718-8991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0011208
CO
Other
Enumeration date
06/27/2005
Last updated
06/27/2023
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