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NPI Code Detail

MEDICARE: DOUGLAS JULE GEISTERT P.T.

MEDICARE:   DOUGLAS JULE GEISTERT  P.T.
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 Therapist1661CO

General Provider Information

NPI Number : 1831293851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS JULE GEISTERT P.T.
Provider Business Mailing Address
First Line : 6250 E CALEY DR
Second Line :
City : CENTENNIAL
State : CO
Zip : 80111-4307
Country : US
Telephone Number : 303-220-7550
Fax Number :
Provider Business Practice Location Address
First Line : 6315 S UNIVERSITY BLVD
Second Line :
City : CENTENNIAL
State : CO
Zip : 80121-2914
Country : US
Telephone Number : 303-483-7089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2006
Last Update Date : 07/08/2007

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Directions to “ DOUGLAS JULE GEISTERT P.T.” Practice Location

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