Healthcare Provider Details

I. General information

NPI: 1861928343
Provider Name (Legal Business Name): COMPLETE PHYSIOTHERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 CHAPEL HILLS DR STE 145
COLORADO SPRINGS CO
80920-1024
US

IV. Provider business mailing address

595 CHAPEL HILLS DR STE 145
COLORADO SPRINGS CO
80920-1024
US

V. Phone/Fax

Practice location:
  • Phone: 719-434-7340
  • Fax: 719-426-9857
Mailing address:
  • Phone: 719-434-7340
  • Fax: 719-426-9857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number6931
License Number StateCO

VIII. Authorized Official

Name: MICHAEL W APPLEBEE
Title or Position: OWNER
Credential:
Phone: 719-434-7340