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NPI Code Detail

MEDICARE: KARI MICELI PT

MEDICARE: KARI MICELI 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 Therapist9895CO

General Provider Information

NPI Number : 1235413311
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI MICELI PT
Provider Business Mailing Address
First Line : 9085 RANCH RIVER CIR
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80126-5094
Country : US
Telephone Number : 720-348-7930
Fax Number :
Provider Business Practice Location Address
First Line : 9085 RANCH RIVER CIR
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80126-5094
Country : US
Telephone Number : 720-348-7930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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