Doctor Name: | MAURA LEE JANE RICHIE |
NPI Number: | 1992914428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTL-9582 |
Business Practice Address: | 4800 W 25th St Greeley, CO - 806343734 |
Business Phone Number: | 9073306400 |
Business Fax Number: | |
Mailing Address: | 5220 Boardwalk Dr, G-31 FORT COLLINS |
State: | CO |
Postal Code: | 805257309 |
Phone Number: | 9042544000 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL-9582 |
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 |