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NPI Code Detail

MEDICARE: NITESH SHRESTHA

MEDICARE: NITESH SHRESTHA
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 Assistant0014690CO

General Provider Information

NPI Number : 1316581986
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITESH SHRESTHA
Provider Business Mailing Address
First Line : 5451 W 102ND PL
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-4106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 ZANG ST STE 250
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-8347
Country : US
Telephone Number : 303-214-7907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 11/06/2019

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Directions to “ NITESH SHRESTHA ” Practice Location

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