Healthcare Provider Details
I. General information
NPI: 1912987835
Provider Name (Legal Business Name): ESLINGER ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1185 CALDERA DR
COLORADO SPRINGS CO
80904-2981
US
IV. Provider business mailing address
1185 CALDERA DR
COLORADO SPRINGS CO
80904-2981
US
V. Phone/Fax
- Phone: 719-200-3465
- Fax: 719-667-0338
- Phone: 719-667-0338
- Fax: 719-667-0338
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
HEATHER
ESLINGER
Title or Position: PARTNER/PROVIDER
Credential: MPT
Phone: 719-200-3465