Christine J Guy, PTA

Individual provider Active NPI Physical Therapy Assistant · Estes Park, CO

NPI 1508320508 · NPPES record last updated Jan 24, 2019

Key facts

NPI
1508320508
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA.0014064 (CO)
Practice address
1310 Manford Ave Unit A4
Estes Park, CO 80517-5401
Phone
(303) 638-7180
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA.0014064COMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0014064 CO Yes

Addresses

Primary practice location

1310 Manford Ave Unit A4
Estes Park, CO 80517-5401

Mailing address

1310 Manford Ave Unit A4
Estes Park, CO 80517-5401

Other providers in Estes Park, CO

All providers in Estes Park, CO · Physical Therapy Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.