MEDICARE: DR. CHELSEY LYNN VASQUEZ P.T., D.P.T

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.0012241	CO

General Provider Information

NPI Number	:	1073948048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEY LYNN VASQUEZ P.T., D.P.T

Provider Business Mailing Address
First Line	:	1907 W GIRTON AVE
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2012
Country	:	US
Telephone Number	:	720-937-8676
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E HAMPDEN AVE STE 460
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2797
Country	:	US
Telephone Number	:	720-937-8676
Fax Number	:

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

Provider Enumeration Date	:	09/10/2013
Last Update Date	:	04/10/2020

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