| Doctor Name: | DANE M FARNWORTH |
| NPI Number: | 1023093200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 6541 |
| Business Practice Address: | 3525 Spaulding Ave Pueblo, CO - 810082208 |
| Business Phone Number: | 7195424444 |
| Business Fax Number: | 7195431990 |
| Mailing Address: | Po Box 612260, SAN JOSE |
| State: | CA |
| Postal Code: | 951612260 |
| Phone Number: | 8773252776 |
| Fax Number: | 4089454011 |
| NPI Enumeration Date: | 12/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 6541 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |