Karen Church, RPT
Individual provider Active NPI Physical Therapist · Glenwood SPGS, CO
NPI 1497734313 · NPPES record last updated Mar 19, 2009
Key facts
- NPI
- 1497734313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3618 (CO)
- Practice address
- 710 Cooper Ave Ste 100
Glenwood SPGS, CO 81601-3446 - Phone
- (970) 945-6971
- Fax
- (970) 928-7975
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3618 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3618 | CO | Yes |
Addresses
Primary practice location
710 Cooper Ave Ste 100
Glenwood SPGS, CO 81601-3446
Mailing address
PO Box 0541
Glenwood SPGS, CO 81602-0541
Phone (970) 945-1443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH15793 | Other | BLUE CROSS |
Other providers in Glenwood SPGS, CO
- Robert Francis Adams
- Armando Armas
- Elizabeth B Belanger-Shugart
- Wade M Ceola
- Kathleen Ann Feinsinger
- Leslie E Fuller
- Glenwood Springs Anesthesiologists PC
- Michael B Grillot
- Brooke M Halliwell
All providers in Glenwood SPGS, 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 Mar 19, 2009. 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.