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NPI Code Detail

MEDICARE: MS. JANNINE T. GEIST PT

MEDICARE:  MS. JANNINE T. GEIST  PT
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 Therapist4753CO
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1417959636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANNINE T. GEIST PT
Provider Business Mailing Address
First Line : 1111 1ST ST
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1702
Country : US
Telephone Number : 303-833-2332
Fax Number : 206-338-3137
Provider Business Practice Location Address
First Line : 1111 1ST ST
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1702
Country : US
Telephone Number : 303-833-2332
Fax Number : 206-338-3137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/13/2016

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Directions to “ MS. JANNINE T. GEIST PT” Practice Location

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