Individual
JAN M MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(541) 575-4157
Mailing address
6930 OAK VALLEY LN, COLORADO SPRINGS, CO 80919-1513
(719) 332-4580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5427
OR
225100000X
Physical Therapist
Primary
7825
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80459820
—
CO
Enumeration date
02/09/2007
Last updated
01/10/2021
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