PHYSICAL MEDICINE OF COLORADO, PLLC - NPI 1144598160

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Physical Medicine Of Colorado, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICAL MEDICINE OF COLORADO, PLLC (NPI 1144598160) is a healthcare organization registered as a general practice in Boulder, Colorado and active in the NPI registry since December 2011. The organization lists Douglas J Terry, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1144598160

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePHYSICAL MEDICINE OF COLORADO, PLLC

Location Address3083 WALNUT STBoulder, CO 80301-2509

Mailing Address3083 Walnut StBoulder, CO 80301-2509 · (303) 440-0500 · Fax (303) 440-4621

Phone(303) 440-0500

Fax(303) 440-4621

Organization SubpartNo

Authorized OfficialDouglas J TerryClinic Manager · (303) 912-3596

Enumeration DateDecember 5, 2011

✔ NPI 1144598160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CO · 17008

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedChiropractorTaxonomy 111N00000X · License CHR-1561 (CO)

3083 WALNUT ST, Boulder, CO 80301

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS JAY TERRY D.C.

Chiropractor