| Doctor Name: | RALPH BIDWELL |
| NPI Number: | 1306966221 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 4345 |
| Business Practice Address: | 4386 Trail Boss Dr Castle Rock, CO - 801047512 |
| Business Phone Number: | 3036888666 |
| Business Fax Number: | 3036888260 |
| Mailing Address: | 6440 Whirlwind Dr, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809187542 |
| Phone Number: | 7192661101 |
| Fax Number: | 7192661101 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4345 |
| 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 |