Organization
CHOICE CITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TYSON FISCHER DPT (OWNER)
(970) 460-8544
Entity
Organization
Contact information
Practice address
2100 W DRAKE RD STE 3, FORT COLLINS, CO 80526-1400
(970) 460-8544
Mailing address
2100 W DRAKE RD STE 3, FORT COLLINS, CO 80526-1400
(970) 460-8544
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18780385
—
CO
Enumeration date
08/23/2018
Last updated
05/05/2021
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