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NPI Code Detail

MEDICARE: MADISON WELMON DPT

MEDICARE: MADISON WELMON 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
1261QP2000XPhysical Therapy Clinic/CenterPTL.0018891CO

General Provider Information

NPI Number : 1437864436
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WELMON DPT
Provider Business Mailing Address
First Line : 3175 S PENNSYLVANIA ST
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2715
Country : US
Telephone Number : 303-241-1243
Fax Number :
Provider Business Practice Location Address
First Line : 5801 S QUEBEC ST STE 100
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2010
Country : US
Telephone Number : 303-770-0870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2023
Last Update Date : 01/16/2023

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