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NPI Code Detail

MEDICARE: ADRIENNE ENRIGHT

MEDICARE: ADRIENNE ENRIGHT
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 Therapist0013488CO

General Provider Information

NPI Number : 1558886531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE ENRIGHT
Provider Business Mailing Address
First Line : 6385 CORPORATE DR STE 301
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-5913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5446 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3644
Country : US
Telephone Number : 719-357-6825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 08/27/2020

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Directions to “ ADRIENNE ENRIGHT ” Practice Location

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