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General NPI Number Information
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NPI Number | 1538914973
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Entity Type | Organization
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Legal Business Name | NTG REHAB
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 6005 DELMONICO DR STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2265
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Country | US
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Telephone | 719-204-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 ELECTRA DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-1090
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Country | US
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Telephone | 719-249-0096
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL C BUCKLER
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Credential | PT
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Telephone | 719-492-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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