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3525 Spaulding Ave, Pueblo, CO 81008-2208 | |
| (719) 542-4444 | |
| (719) 543-1990 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3525 Spaulding Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245212711 | NPI | - | NPPES |
| 187602900 | Other | DOL | |
| CK6274 | Other | CO | RAILROAD |
| PU653628 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Diane M Ernewein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265611354 PECOS PAC ID: 5597652792 Enrollment ID: I20050914000209 |
| Provider Name | Dane M Farnworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023093200 PECOS PAC ID: 8527087915 Enrollment ID: I20051115000578 |
| Provider Name | William S Grey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851376701 PECOS PAC ID: 7113994336 Enrollment ID: I20120307000586 |
| Provider Name | Stacy S Brewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952564221 PECOS PAC ID: 7810043304 Enrollment ID: I20220308000016 |
| Provider Name | Joseph Eunice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417712472 PECOS PAC ID: 7517308000 Enrollment ID: I20240515001947 |
| Mailing Address | Practice Location Address |
|---|---|
3525 Spaulding Avenue, Pueblo, CO 81008 Ph: (719) 542-4444 | 3525 Spaulding Ave, Pueblo, CO 81008-2208 Ph: (719) 542-4444 |
Karen Bishop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008 Phone: 719-266-1788 Fax: 719-776-4700 | |
Michelle Perse, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008 Phone: 719-568-9790 | |
Dane M Farnworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008 Phone: 719-542-4444 Fax: 719-543-1990 | |
Cydne Rossi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 | |
Todd S Chilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 Phone: 719-924-8912 Fax: 719-696-9115 | |
Mary Margaret Whelan Leffert, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008 Phone: 719-569-5691 Fax: 719-569-5689 | |
Shannon A Egan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 Fax: 719-542-0119 |