Individual
KEVIN TADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 E VALLEY RD UNIT 203, BASALT, CO 81621-8352
(970) 927-9319
Mailing address
2409 BOB O LINK LN, GLENWOOD SPRINGS, CO 81601-4107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2110911
TX
225200000X
Physical Therapy Assistant
Primary
PTA.0013628
CO
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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