Robert E Hastings III
Individual provider Active NPI Physical Therapist · Mancos, CO
NPI 1114275286 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1114275286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10736 (CO)
- Practice address
- 211 E 3Rd Ave
Mancos, CO 81328-9079 - Phone
- (970) 533-9031
- NPI assigned
- Aug 21, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10736 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10736 | CO | Yes |
Addresses
Primary practice location
211 E 3Rd Ave
Mancos, CO 81328-9079
Mailing address
41020 Road 38
Dolores, CO 81323-9512
Phone (970) 882-2347
Other providers in Mancos, CO
- Lucinda Glass
- Rebecca Gostlin
- Green Umbrella Counseling, LLC
- Sarah Coburn Hackett
- Daniel Robert Hancock
- Kathryn Henneman
- Jennifer Hight
- Kathleen Horn
- Kelli D Hughes
- Victoria Jean Hutchinson
All providers in Mancos, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.