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NPI Code Detail

MEDICARE: ELIZABETH RENEE MONSEN DPT

MEDICARE: ELIZABETH RENEE MONSEN 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
1225100000XPhysical Therapist17373CO
2225100000XPhysical Therapist40QA01888400NJ

General Provider Information

NPI Number : 1386206290
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH RENEE MONSEN DPT
Provider Business Mailing Address
First Line : 437 S WADSWORTH BLVD UNIT G
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3134
Country : US
Telephone Number : 303-274-7310
Fax Number : 720-497-6705
Provider Business Practice Location Address
First Line : 437 S WADSWORTH BLVD UNIT G
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3134
Country : US
Telephone Number : 303-274-7310
Fax Number : 720-497-6705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 01/28/2026

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