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1467271056 NPI number — CORINNE ELIZABETH BRATCHER PTA

NPI Number: 1467271056
Health Care Provider/Practitioner: CORINNE ELIZABETH BRATCHER PTA

Information about “1467271056” NPI (CORINNE ELIZABETH BRATCHER PTA) exists in 1467271056 in HTML format HTML  |  1467271056 in plain Text format TXT  |  1467271056 in PDF (Portable Document Format) PDF  |  1467271056 in an XML format XML  formats.

NPI Number : 1467271056 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467271056",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRATCHER",
    "FirstName": "CORINNE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PALOMBO",
    "OtherFirstName": "CORINNE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PTA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5802 SANTANA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80923-7635",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-753-5802",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6140 TUTT BLVD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80923-3577",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-753-5802",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2024",
    "LastUpdateDate": "10/09/2024",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "PTA.0015059",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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