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NPI Code Detail

MEDICARE: COURTNEY MARIE BUSCHARD

MEDICARE: COURTNEY MARIE BUSCHARD
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 TherapistLPT-32104AZ
2225100000XPhysical Therapist
3225100000XPhysical TherapistPTL.002357CO

General Provider Information

NPI Number : 1295304467
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MARIE BUSCHARD
Provider Business Mailing Address
First Line : 112 N RUBEY DR UNIT 125
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 112 N RUBEY DR UNIT 135
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3214
Country : US
Telephone Number : 303-279-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2021
Last Update Date : 02/18/2025

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Directions to “ COURTNEY MARIE BUSCHARD ” Practice Location

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