MEDICARE: TREAT YOURSELF TRANSPORTATION

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1790368314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREAT YOURSELF TRANSPORTATION

Provider Business Mailing Address
First Line	:	4723 BARNES RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-1640
Country	:	US
Telephone Number	:	171-946-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	4723 BARNES RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-1640
Country	:	US
Telephone Number	:	171-946-0825
Fax Number	:

Authorized Official
Title or Position	:	CHEF EXECUTIVE OFFICER
Name	:	KEYANA FIFER
Credential	:
Telephone Number	:	719-460-8251

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	05/02/2021

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Directions to “TREAT YOURSELF TRANSPORTATION ” Practice Location

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