Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN IVANOV, PT
ActiveIVAN IVANOV, PT is a Physical Therapy Assistant healthcare provider located in PUEBLO, Colorado. NPI 1942832803 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PUEBLO, CO
Registration Details
- NPI Number
- 1942832803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2020 (6.5113435575607 yrs)
- Last Updated
- Jan 19, 2023
- Licenses
-
J1-0004181 (DE)CP017621T (CO)
Practice Information
- Address
-
2611 JONES AVEPUEBLO, CO, 810042650Browse CO providers · Browse ZIP 81004
- Phone
- 7195641735
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| MR. CHAD ALAN CLARK | MSPT | 1083617906 |
| DANE M FARNWORTH | PT | 1023093200 |
| WILLIAM S GREY | PT | 1851376701 |
| MR. JOSEPH DAVID RUZICH | PT | 1598728743 |
| HUGH PARKER | PT | 1992753693 |
| MR. BARRY D BROWN | PT | 1366491615 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.