Carrissa Shea Erdely
Physical Therapist - Orthopedic
2835 Dublin Blvd
Colorado Springs
, Colorado 80918-1662
Carrissa Shea Erdely
Physical Therapist - Orthopedic
2835 Dublin Blvd
Colorado Springs
, Colorado 80918-1662
(719) 533-1319
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Carrissa Shea Erdely
- 2835 Dublin Blvd
- Colorado Springs, CO
- Zip : 80918-1662
- Fax : (719) 533-1319
- Phone : (719) 533-1318
Second Address
- Carrissa Shea Erdely
- 2835 Dublin Blvd
- Colorado Springs, CO
- Zip : 80918-1662
- Phone : (719) 533-1318
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Is Carrissa Shea Erdely a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PTL.0016718 | CO |
National Provider Identifier
| NPI | 1023654720 |
|---|---|
| Provider Name | Carrissa Shea Erdely |
| First Address | Colorado Springs, CO 80918-1662 |
| Second Address | Colorado Springs, CO 80918-1662 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2019 |
| Last Update Date | 10/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9000179216 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.