MEDICARE: KARI ELSTE PT, 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1568741650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI ELSTE PT, DPT

Provider Business Mailing Address
First Line	:	115 E HARMONY RD STE 160
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3280
Country	:	US
Telephone Number	:	630-881-1560
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E HARMONY RD STE 160
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3280
Country	:	US
Telephone Number	:	630-881-1560
Fax Number	:

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

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	10/28/2014

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