Individual
KOLTEN TEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12155
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL0012155
STATE LICENSE
CO
Enumeration date
05/15/2014
Last updated
09/25/2019
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