Healthcare Provider Details

I. General information

NPI: 1407890379
Provider Name (Legal Business Name): ALLISON JANE RECTOR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 GRAND CORDERA PKWY SUITE 125
COLORADO SPRINGS CO
80924-7003
US

IV. Provider business mailing address

9320 GRAND CORDERA PKWY SUITE 125
COLORADO SPRINGS CO
80924-7003
US

V. Phone/Fax

Practice location:
  • Phone: 719-535-2757
  • Fax: 719-535-2767
Mailing address:
  • Phone: 719-535-2757
  • Fax: 719-535-2767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5635
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: