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NPI Code Detail

MEDICARE: LARAE J SEHR P.T.

MEDICARE: LARAE J SEHR 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
1225100000XPhysical TherapistPTL.0010699CO

General Provider Information

NPI Number : 1215017264
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARAE J SEHR P.T.
Provider Business Mailing Address
First Line : 3235 MUSKRAT CREEK DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-7027
Country : US
Telephone Number : 320-492-9368
Fax Number :
Provider Business Practice Location Address
First Line : 1455 MAIN ST
Second Line : STE. 170
City : WINDSOR
State : CO
Zip : 80550-5559
Country : US
Telephone Number : 970-674-8011
Fax Number : 970-674-8051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 04/28/2016

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