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NPI 1639057573

NPI 1639057573 : MONICA WEINRAUCH PT : GREELEY, CO

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General NPI Number Information
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    NPI Number           |    1639057573
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA WEINRAUCH PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    01/21/2026
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Provider Practice Location Address
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    Address Line         |    4617 W 20TH ST UNIT A 
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    City                 |    GREELEY
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    State                |    CO
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    Zip                  |    80634-3207
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    Country              |    US
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    Telephone            |    970-352-9022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    37084 BENNETT ST 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152-2706
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    Country              |    US
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    Telephone            |    734-536-8815
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTL.0021080
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    License Number State |    CO
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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       |    LPT-034407
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501304121
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    License Number State |    MI
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