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NPI Code Detail

MEDICARE: SARAH MAGNUSON PTA

MEDICARE: SARAH MAGNUSON PTA
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
1225200000XPhysical Therapy AssistantPTA.0014471CO

General Provider Information

NPI Number : 1225468382
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MAGNUSON PTA
Provider Business Mailing Address
First Line : 3625 CITADEL DR S
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5320
Country : US
Telephone Number : 719-597-0822
Fax Number :
Provider Business Practice Location Address
First Line : 3625 CITADEL DR S
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5320
Country : US
Telephone Number : 719-597-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2013
Last Update Date : 03/21/2025

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Directions to “ SARAH MAGNUSON PTA” Practice Location

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