MEDICARE: BRITTONY THOMAS P.T.

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	2127	CO

General Provider Information

NPI Number	:	1730293861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTONY THOMAS P.T.

Provider Business Mailing Address
First Line	:	292 VAIL CIR
Second Line	:
City	:	DILLON
State	:	CO
Zip	:	80435-8301
Country	:	US
Telephone Number	:	970-262-6106
Fax Number	:	970-262-6429

Provider Business Practice Location Address
First Line	:	600 S CHERRY ST
Second Line	:	STE 325
City	:	DENVER
State	:	CO
Zip	:	80246-1702
Country	:	US
Telephone Number	:	970-262-6106
Fax Number	:	970-262-6429

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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