Individual
CECIL LOUIE CARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 544-1177
(970) 544-1544
Mailing address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 544-1177
(970) 544-1544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8544
TN
225100000X
Physical Therapist
PT 4136
MS
2251X0800X
Orthopedic Physical Therapist
Primary
9841
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4250681
BCBS OF TENNESSEE
TN
Enumeration date
07/03/2007
Last updated
04/25/2018
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