MEDICARE: BRIAN DAUB

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	8257	CO

General Provider Information

NPI Number	:	1609705896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN DAUB

Provider Business Mailing Address
First Line	:	9584 CASTLE OAKS DR
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-4519
Country	:	US
Telephone Number	:	719-332-1134
Fax Number	:

Provider Business Practice Location Address
First Line	:	9584 CASTLE OAKS DR
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-4519
Country	:	US
Telephone Number	:	719-332-1134
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ BRIAN DAUB ” Practice Location

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