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NPI Code Detail

MEDICARE: DAVID THOMAS CONLIN DPT

MEDICARE: DAVID THOMAS CONLIN 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
1225100000XPhysical TherapistPTL9247CO

General Provider Information

NPI Number : 1104168335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID THOMAS CONLIN DPT
Provider Business Mailing Address
First Line : PO BOX 801172
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-1172
Country : US
Telephone Number : 800-953-0104
Fax Number :
Provider Business Practice Location Address
First Line : 41 STATE HIGHWAY 67
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-5008
Country : US
Telephone Number : 719-686-0553
Fax Number : 719-687-5374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 02/19/2024

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