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NPI Code Detail

MEDICARE: MR. STEVEN G FAUST PT

MEDICARE: MR. STEVEN G FAUST 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 Therapist8201CO

General Provider Information

NPI Number : 1558344838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN G FAUST PT
Provider Business Mailing Address
First Line : 2914 9TH ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4740 PEARL PKWY STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80301-3080
Country : US
Telephone Number : 303-449-2730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 10/04/2023

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Directions to “ MR. STEVEN G FAUST PT” Practice Location

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