Eric Cheers Forquer, PT

Individual provider Active NPI Physical Therapist · Granby, CO

NPI 1750879771 · NPPES record last updated Apr 25, 2018

Key facts

NPI
1750879771
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0014219 (CO)
Practice address
1000 Granby Park Drive South
Granby, CO 80446
Phone
(970) 887-5851
Fax
(970) 887-5801
NPI assigned
Apr 25, 2018
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

LicenseStateTypeSpecialty
0014219COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0014219 CO Yes

Addresses

Primary practice location

1000 Granby Park Drive South
Granby, CO 80446

Mailing address

PO Box 1420
Granby, CO 80446-1420
Phone (970) 531-5433

Other providers in Granby, CO

All providers in Granby, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.