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KAREN CHURCH RPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1497734313
Individual Registrant: KAREN CHURCH RPT
Gender: F
Not Sole Proprietor
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
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
Tel: 970-945-1443 Fax: 970-947-9410
Registration Information:
NPI: 1497734313
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CO | 3618 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS | CH15793 | 01 |
