Individual
AMY ELIZABETH MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
151 W MINERAL AVE STE 116A, LITTLETON, CO 80120-4510
(303) 798-5602
Mailing address
8362 E BRIARWOOD BLVD, CENTENNIAL, CO 80112-1319
(720) 334-5870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0014900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0014900
PHYSICAL THERAPY LICENSE
CO
Enumeration date
12/17/2019
Last updated
12/17/2019
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