Marco Lorenzo Tamondong Tiuseco, PT
Individual provider Active NPI Physical Therapist · Del Norte, CO
NPI 1467229260 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1467229260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL.0019473 (CO)
- Practice address
- 1335 6TH St
Del Norte, CO 81132-3201 - Phone
- (719) 657-1105
- NPI assigned
- Dec 11, 2023
- 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 |
|---|---|---|---|
| PTL.0019473 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0019473 | CO | Yes |
Addresses
Primary practice location
1335 6TH St
Del Norte, CO 81132-3201
Mailing address
925 La Due Ave
Alamosa, CO 81101-3242
Phone (726) 209-9661
Other providers in Del Norte, CO
- David Ronald Silva
- Susan Stuebs
- Brittany L Sullivan
- Patrick James Thompson
- Cinnamon Tidwell
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
All providers in Del Norte, 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 Dec 11, 2023. 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.