Summer Grace Marting, DPT | |
711 N Tejon St # 100, Colorado Springs, CO 80903-1011 | |
(719) 381-4357 | |
Not Available |
Full Name | Summer Grace Marting |
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Gender | Female |
Speciality | Physical Therapist |
Location | 711 N Tejon St # 100, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669253803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0019292 (Colorado) | Primary |
Provider Name | Rocky Mountain Rehabilitation P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265584494 PECOS PAC ID: 7618995465 Enrollment ID: O20051109001198 |
Mailing Address | Practice Location Address |
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Summer Grace Marting, DPT 2647 Front Royal Dr, Colorado Springs, CO 80919-5021 Ph: (719) 660-2698 | Summer Grace Marting, DPT 711 N Tejon St # 100, Colorado Springs, CO 80903-1011 Ph: (719) 381-4357 |
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