Serc Of Woodland Park Llc | |
406 E Grace Ave, Woodland Park, CO 80863-3127 | |
(719) 687-3767 | |
(719) 687-2525 |
Full Name | Serc Of Woodland Park Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 406 E Grace Ave, Woodland Park, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063403855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Colorado) | Primary |
Provider Name | Matthew L Thessing |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104807288 PECOS PAC ID: 0749220630 Enrollment ID: I20050815000655 |
Provider Name | Ralph L Bidwell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306966221 PECOS PAC ID: 6406940642 Enrollment ID: I20070919000692 |
Mailing Address | Practice Location Address |
---|---|
Serc Of Woodland Park Llc 406 E Grace Ave, Woodland Park, CO 80863-3127 Ph: (719) 687-3767 | Serc Of Woodland Park Llc 406 E Grace Ave, Woodland Park, CO 80863-3127 Ph: (719) 687-3767 |
Mrs. Marzelle Claassen Black, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-374-6172 Fax: 719-374-6118 | |
Ashley Alvarez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 N. Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
David Thomas Conlin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 41 State Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Matthew Lawrence Thessing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 E Grace Ave, Woodland Park, CO 80863 Phone: 719-687-3767 Fax: 719-687-2525 | |
Carol Greenstreet, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 N Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Mr. Brandon Stapanowich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 719-357-3307 |