Kathe Davis, Pt, Pllc

NPI 1073784500 - Clinic/Center - 261QP2000X

NPI Details
NPI 1073784500
Enumeration Date 03/12/2008
Last Updated 03/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EMILIE J EMILIE
Position BILLING/BOOKKEEPER
Phone (719) 543-9202
Fax
Practice Location
511 WEST 29TH ST
SUITE B
PUEBLO CO, 81008, US
Phone (719) 543-9202
Fax
Business Location
511 WEST 29TH ST
SUITE B
PUEBLO CO, 81008, US
Phone (719) 543-9202
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Colorado
License Number 3879
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According to our database, Kathe Davis, Pt, Pllc NPI is 1073784500, taxonomy code is 261QP2000X and license number is 3879, license state is located at Colorado. Kathe Davis, Pt, Pllc physically located at 511 West 29th St, Pueblo CO, 81008. NPI Number 1033115704 has the healthcare provider type.

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1073784500 NPI number is provided on an as is basis without warranty of any kind. 1073784500 is maintained by the National Plan & Provider Enumeration System. The contents of Kathe Davis, Pt, Pllc are for informational purposes only.