Healthcare Provider Details

I. General information

NPI: 1871283846
Provider Name (Legal Business Name): MEGHAN AMTHOR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4637 ASHER HTS
COLORADO SPRINGS CO
80917-6401
US

IV. Provider business mailing address

4637 ASHER HTS
COLORADO SPRINGS CO
80917-6401
US

V. Phone/Fax

Practice location:
  • Phone: 989-860-7785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019084
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: