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General NPI Number Information
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NPI Number | 1568311009
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Entity Type | Organization
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Legal Business Name | ALTIUS ENTERPRISES PLLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 210 EDWARDS VILLAGE BLVD STE B201
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City | EDWARDS
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State | CO
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Zip | 81632-5277
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Country | US
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Telephone | 404-593-5104
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Fax | 866-780-1180
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Provider Business Mailing Address
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Address Line | PO BOX 768
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City | AVON
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State | CO
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Zip | 81620-0768
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Country | US
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Telephone | 970-829-4866
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Fax | 866-780-1180
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE ECKENHOFF
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Credential | DPT
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Telephone | 970-829-4866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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