MEDICARE: MRS. CANDACE DAWN BRITTEN PT, DPT, NHA

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	10175	CO

General Provider Information

NPI Number	:	1497041784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CANDACE DAWN BRITTEN PT, DPT, NHA

Provider Business Mailing Address
First Line	:	11337 W PROGRESS AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-1687
Country	:	US
Telephone Number	:	806-433-7854
Fax Number	:

Provider Business Practice Location Address
First Line	:	9208 GRAND CORDERA PKWY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-7022
Country	:	US
Telephone Number	:	303-759-4221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	12/30/2024

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