MEDICARE: ALEX TAYLOR NUTTER

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	CP025628T	AZ
2	225100000X	Physical Therapist	13815	CT
3	225100000X	Physical Therapist	CP000731T	CO

General Provider Information

NPI Number	:	1942843503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX TAYLOR NUTTER

Provider Business Mailing Address
First Line	:	6235 S MAIN ST STE 101
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6235 S MAIN ST STE 101
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5373
Country	:	US
Telephone Number	:	720-514-0751
Fax Number	:

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

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	06/05/2024

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Directions to “ ALEX TAYLOR NUTTER ” Practice Location

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