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NPI Code Detail

MEDICARE: MICHAEL ROBERT HOBSON MPT

MEDICARE: MICHAEL ROBERT HOBSON MPT
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
1225100000XPhysical TherapistPT0016953FL

General Provider Information

NPI Number : 1083609671
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROBERT HOBSON MPT
Provider Business Mailing Address
First Line : 17504 POND VIEW PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-1313
Country : US
Telephone Number : 719-232-3104
Fax Number :
Provider Business Practice Location Address
First Line : 3141 CENTENNIAL BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-4094
Country : US
Telephone Number : 719-227-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 05/19/2021

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