MEDICARE: MEGHAN ELIZABETH MACINTOSH DUKES D.C., 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-9853	CO
2	111N00000X	Chiropractor	6186	CO

General Provider Information

NPI Number	:	1083899272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN ELIZABETH MACINTOSH DUKES D.C., P.T.

Provider Business Mailing Address
First Line	:	2844 FAIRFAX ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2711
Country	:	US
Telephone Number	:	720-376-9037
Fax Number	:

Provider Business Practice Location Address
First Line	:	2844 FAIRFAX ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2711
Country	:	US
Telephone Number	:	720-376-9037
Fax Number	:

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

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	11/10/2020

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