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NPI Code Detail

MEDICARE: ALLISON POTTER

MEDICARE: ALLISON POTTER
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.0019285CO

General Provider Information

NPI Number : 1366124406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON POTTER
Provider Business Mailing Address
First Line : 5445 DTC PKWY STE 1130
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3038
Country : US
Telephone Number : 720-749-5599
Fax Number : 720-925-5897
Provider Business Practice Location Address
First Line : 3204 N ACADEMY BLVD STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5164
Country : US
Telephone Number : 720-749-5599
Fax Number : 720-925-5897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 01/27/2026

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Directions to “ ALLISON POTTER ” Practice Location

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