MEDICARE: WILLIAM RAUDALEZ FRAUSTO DPT

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
1	225100000X	Physical Therapist		CO

General Provider Information

NPI Number	:	1366307886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM RAUDALEZ FRAUSTO DPT

Provider Business Mailing Address
First Line	:	316 S XAPARY ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-2464
Country	:	US
Telephone Number	:	720-655-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 S XAPARY ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-2464
Country	:	US
Telephone Number	:	720-655-0064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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