Healthcare Provider Details

I. General information

NPI: 1861541237
Provider Name (Legal Business Name): TOTALLY FEET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8753 YATES DR SUITE 110
WESTMINSTER CO
80031-6947
US

IV. Provider business mailing address

8753 YATES DR SUITE 110
WESTMINSTER CO
80031-6947
US

V. Phone/Fax

Practice location:
  • Phone: 720-980-3668
  • Fax: 303-934-5446
Mailing address:
  • Phone: 720-980-3668
  • Fax: 303-934-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number579
License Number StateCO

VIII. Authorized Official

Name: DR. TERRY LEROY OEHLER
Title or Position: OWNER
Credential: D.P.M.
Phone: 720-980-3668