Healthcare Provider Details
I. General information
NPI: 1730141250
Provider Name (Legal Business Name): ALAN SCHLECHTEN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 04/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
374 INVERNESS DR S
ENGLEWOOD CO
80112-5810
US
IV. Provider business mailing address
3005 S JACKSON ST
DENVER CO
80210-6643
US
V. Phone/Fax
- Phone: 720-873-6866
- Fax: 720-873-6875
- Phone: 303-514-9947
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 8356 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: