Healthcare Provider Details

I. General information

NPI: 1548865454
Provider Name (Legal Business Name): CATHERINE CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 STADIA CT
COLORADO SPRINGS CO
80915-2657
US

IV. Provider business mailing address

6150 STADIA CT
COLORADO SPRINGS CO
80915-2657
US

V. Phone/Fax

Practice location:
  • Phone: 719-419-8833
  • Fax: 719-309-2077
Mailing address:
  • Phone: 719-419-8833
  • Fax: 719-309-2077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number17355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: