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KAREN CHURCH RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1497734313

Individual Registrant:
 KAREN  CHURCH RPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
710 COOPER AVE STE 100  GLENWOOD SPGS, CO 81601-3446 US
Tel: 970-945-6971  Fax: 970-928-7975

Contact information for business:
PO BOX 0541  GLENWOOD SPGS, CO 81602-0541 US
Tel: 970-945-1443  Fax: 970-947-9410

Registration Information:
NPI: 1497734313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CO3618

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSSCH1579301




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