Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | PTL.0016769 | CO |
N | 213ES0000X | Sports Medicine | PTL.0016769 | CO |
Y | 225100000X | Physical Therapist | PTL0016769 | CO |
NPI | 1013411545 |
---|---|
Provider Name | Adam Schwerdt |
First Address | Colorado Springs, CO 80904-4046 |
Second Address | Colorado Springs, CO 80904-4046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2018 |
Last Update Date | 31/08/2021 |