MEDICARE: MOUNTAIN VIEW PHYSICAL THERAPY

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

General Provider Information

NPI Number	:	1386614048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1262 BERGEN PKWY
Second Line	:	E10
City	:	EVERGREEN
State	:	CO
Zip	:	80439-9546
Country	:	US
Telephone Number	:	303-674-7889
Fax Number	:	303-674-8117

Provider Business Practice Location Address
First Line	:	1262 BERGEN PKWY
Second Line	:	E10
City	:	EVERGREEN
State	:	CO
Zip	:	80439-9546
Country	:	US
Telephone Number	:	303-674-7889
Fax Number	:	303-674-8117

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MS. VALERIE JEANNE GLUTH
Credential	:	P.T.
Telephone Number	:	303-674-7889

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	08/22/2020

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Directions to “MOUNTAIN VIEW PHYSICAL THERAPY ” Practice Location

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