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NPI 1518941491

NPI 1518941491 : GLORIA RENEE WINTERS DPT : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1518941491
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    Entity Type          |    Individual 
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    Provider Name        |    GLORIA RENEE WINTERS DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/03/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1330 QUAIL LAKE LOOP PT WORKS PC CHEYENNE MTN CLINIC
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80906-4651
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    Country              |    US
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    Telephone            |    719-579-0230
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    Fax                  |    719-579-0277
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Provider Business Mailing Address
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    Address Line         |    1330 QUAIL LAKE LOOP PT WORKS PC CHEYENNE MTN CLINIC
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80906-4651
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    Country              |    US
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    Telephone            |    719-579-0230
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    Fax                  |    719-579-0277
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    7677
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    7677
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    License Number State |    CO
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