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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REFINED FORM PHYSICAL THERAPY, PLLC

Active Organization

Physical Therapy Assistant · CRESTONE, CO

Registration Details

NPI Number
1619601978
Provider Type
Organization
NPI Issued
Jul 13, 2022 (3.8153018066988 yrs)
Last Updated
Mar 22, 2023

Practice Information

Address
3704 CAREFREE WAY
CRESTONE, CO, 811310404
Browse CO providers · Browse ZIP 81131
Phone
3607137938
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.