Individual
MADISON GARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 CHAMBERS RD STE 200, AURORA, CO 80011-7130
(303) 577-9780
Mailing address
2964 S ARGONNE ST, AURORA, CO 80013-2308
(172) 028-1430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014849
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA.0014849
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
09/02/2020
Last updated
09/02/2020
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