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1326195710 NPI number — SUSAN E TORRENCE PT, ATC

NPI Number: 1326195710
Health Care Provider/Practitioner: SUSAN E TORRENCE PT, ATC

Information about “1326195710” NPI (SUSAN E TORRENCE PT, ATC) exists in 1326195710 in HTML format HTML  |  1326195710 in plain Text format TXT  |  1326195710 in PDF (Portable Document Format) PDF  |  1326195710 in an XML format XML  formats.

NPI Number : 1326195710 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326195710",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TORRENCE",
    "FirstName": "SUSAN",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALFORD",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5450 WESTERN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOULDER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80301-2709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-315-9900",
    "MailingAddressFaxNumber": "303-315-9902",
    "FirstLinePracticeLocationAddress": "2150 STADIUM DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOULDER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80309-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-315-9900",
    "PracticeLocationAddressFaxNumber": "303-315-9902",
    "EnumerationDate": "01/05/2007",
    "LastUpdateDate": "11/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2251S0007X",
          "TaxonomyName": "Sports Physical Therapist",
          "LicenseNumber": "PTL.0006257",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT.0000716",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PTL.0006257",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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