Individual
MICHAEL SCOTT LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
711 E VALLEY RD, SUITE 202B, BASALT, CO 81621-8370
(970) 927-3883
(970) 927-3907
Mailing address
130 PTARMIGON CT, BASALT, CO 81621-8201
(970) 927-2335
(970) 927-3907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5873
CO
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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