Individual
MATTHEW TIPPETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6822 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923-8766
(719) 290-8937
Mailing address
6822 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923-8766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013157
CO
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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