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NPI Code Detail

MEDICARE: DELAYNA SHORTER PT

MEDICARE: DELAYNA SHORTER PT
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 Therapist10808CO

General Provider Information

NPI Number : 1174827430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELAYNA SHORTER PT
Provider Business Mailing Address
First Line : 5300 DTC PKWY
Second Line : SUITE 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number :
Provider Business Practice Location Address
First Line : 5300 DTC PKWY
Second Line : SUITE 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2010
Last Update Date : 02/02/2011

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Directions to “ DELAYNA SHORTER PT” Practice Location

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