Individual
ANGELA IRENE MATSON-RUFENACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PTA, LMT
Contact information
Practice address
18505 BIRDSEYE VW, PEYTON, CO 80831-9379
(719) 237-7388
Mailing address
18505 BIRDSEYE VW, PEYTON, CO 80831-9379
(719) 237-7388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.0012631
CO
2255A2300X
Athletic Trainer
Primary
AT.0000776
CO
225700000X
Massage Therapist
MT.0008369
CO
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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