MEDICARE: DR. KELSEY RENE RASHEED PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0019114	CO

General Provider Information

NPI Number	:	1528749520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELSEY RENE RASHEED PT, DPT

Provider Business Mailing Address
First Line	:	2814 N MARION ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4460
Country	:	US
Telephone Number	:	770-656-6839
Fax Number	:

Provider Business Practice Location Address
First Line	:	2814 N MARION ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4460
Country	:	US
Telephone Number	:	770-656-6839
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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