Healthcare Provider Details

I. General information

NPI: 1851116479
Provider Name (Legal Business Name): DANIEL CIPRIANI PT, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3854 VILLAGE SEVEN RD
COLORADO SPRINGS CO
80917-2801
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-8761
  • Fax: 719-574-8236
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-300-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0020206
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: