| Doctor Name: | TAREN FRAZIER |
| NPI Number: | 1114395415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PTL0013599 |
| Business Practice Address: | 718 N Main St Gunnison, CO - 812302412 |
| Business Phone Number: | 9706417389 |
| Business Fax Number: | 9706417369 |
| Mailing Address: | 718 N Main St, GUNNISON |
| State: | CO |
| Postal Code: | 812302412 |
| Phone Number: | 9706417389 |
| Fax Number: | 9706417369 |
| NPI Enumeration Date: | 09/03/2015 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PTL0013599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |