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NPI Code Detail

MEDICARE: MS. ANDREA LYN TERRY DPT

MEDICARE: MS. ANDREA LYN TERRY 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 TherapistPTL.0010082CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447408786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANDREA LYN TERRY DPT
Provider Business Mailing Address
First Line : 7233 CHURCH RANCH BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4094
Country : US
Telephone Number : 303-925-4137
Fax Number : 303-925-4143
Provider Business Practice Location Address
First Line : 7233 CHURCH RANCH BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4094
Country : US
Telephone Number : 303-925-4137
Fax Number : 303-925-4143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 03/02/2023

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