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NPI Code Detail

MEDICARE: DR. PETER BENSON THOMSEN PT, DPT

MEDICARE: DR. PETER BENSON THOMSEN PT, 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 TherapistPTL.0018975CO

General Provider Information

NPI Number : 1215636774
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER BENSON THOMSEN PT, DPT
Provider Business Mailing Address
First Line : 5400 W 97TH AVE APT 2105
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-5718
Country : US
Telephone Number : 630-414-7968
Fax Number :
Provider Business Practice Location Address
First Line : 5801 S QUEBEC ST STE 100
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2010
Country : US
Telephone Number : 720-407-8978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 02/23/2023

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