MEDICARE: CHELSEA A SPECK DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0017533	CO

General Provider Information

NPI Number	:	1013502012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA A SPECK DPT

Provider Business Mailing Address
First Line	:	PO BOX 5718
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59903-5718
Country	:	US
Telephone Number	:	406-756-0134
Fax Number	:	406-300-1612

Provider Business Practice Location Address
First Line	:	4350 WADSWORTH BLVD STE 425
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-4652
Country	:	US
Telephone Number	:	303-564-5008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	02/05/2025

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Directions to “ CHELSEA A SPECK DPT” Practice Location

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