| |
543 N Colorado Ave, Haxtun, CO 80731-2596 | |
(970) 774-6186 | |
(970) 774-6186 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 543 N Colorado Ave, Haxtun, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902921505 | NPI | - | NPPES |
P6403 | Other | CO | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
427 W Main St, Sterling, CO 80751-3033 Ph: (970) 522-7743 | 543 N Colorado Ave, Haxtun, CO 80731-2596 Ph: (970) 774-6186 |