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NPI Code Detail

MEDICARE: SHANNON ELIZABETH PASCOE D.P.T.

MEDICARE: SHANNON ELIZABETH PASCOE D.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 Therapist9588CO

General Provider Information

NPI Number : 1881897171
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON ELIZABETH PASCOE D.P.T.
Provider Business Mailing Address
First Line : 5300 DTC PKWY
Second Line : SUITE # 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Provider Business Practice Location Address
First Line : 5300 DTC PKWY
Second Line : SUITE # 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 06/08/2011

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