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NPI Code Detail

MEDICARE: MISS SASHA AYLISE FOSTER MSPT

MEDICARE: MISS SASHA AYLISE FOSTER MSPT
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 Therapist7338CO

General Provider Information

NPI Number : 1194994418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SASHA AYLISE FOSTER MSPT
Provider Business Mailing Address
First Line : 508 W TRILBY RD
Second Line : PT DEPARTMENT
City : FORT COLLINS
State : CO
Zip : 80525-4054
Country : US
Telephone Number : 970-226-4909
Fax Number :
Provider Business Practice Location Address
First Line : 508 W TRILBY RD
Second Line : PT DEPARTMENT
City : FORT COLLINS
State : CO
Zip : 80525-4054
Country : US
Telephone Number : 970-226-4909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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Directions to “ MISS SASHA AYLISE FOSTER MSPT” Practice Location

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