Tyrell Jay Henriod, DPT | |
7362 Mclaughlin Rd, Peyton, CO 80831-4713 | |
(193) 583-8667 | |
Not Available |
Full Name | Tyrell Jay Henriod |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7362 Mclaughlin Rd, Peyton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518698745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0018437 (Colorado) | Primary |
Provider Name | Colorado Springs Core Progression, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457027336 PECOS PAC ID: 0244628980 Enrollment ID: O20211028001986 |
Mailing Address | Practice Location Address |
---|---|
Tyrell Jay Henriod, DPT 7362 Mclaughlin Rd, Falcon, CO 80831-4713 Ph: (719) 358-3866 | Tyrell Jay Henriod, DPT 7362 Mclaughlin Rd, Peyton, CO 80831-4713 Ph: (193) 583-8667 |
Dr. Matthew Joseph Mazzeo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7622 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-3133 Fax: 719-471-4415 | |
Lindsay N Lund, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7622 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-3133 Fax: 719-495-8685 | |
Jennifer Marie Mulligan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7622 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-3133 Fax: 719-495-8685 | |
Mary Witte-niemeyer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7362 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-358-3866 | |
Peak Physiotherapy And Sports Performance Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10620 Maltese Pt, Peyton, CO 80831 Phone: 719-401-1166 | |
Francis Osita Onukwuli Jr., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7362 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-358-3866 Fax: 719-559-1800 | |
Ellen Britt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7622 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-3133 Fax: 719-495-8685 |