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NPI Code Detail

MEDICARE: ANDREA MARTHINSEN

MEDICARE: ANDREA MARTHINSEN
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
1225100000XPhysical TherapistPT0012132CO

General Provider Information

NPI Number : 1598186603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MARTHINSEN
Provider Business Mailing Address
First Line : 3625 CITADEL DR S
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5320
Country : US
Telephone Number : 719-597-0822
Fax Number : 719-599-4606
Provider Business Practice Location Address
First Line : 3625 CITADEL DR S
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5320
Country : US
Telephone Number : 719-597-0822
Fax Number : 719-599-4606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2013
Last Update Date : 12/17/2013

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Directions to “ ANDREA MARTHINSEN ” Practice Location

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