Mr. Michael Ray Hartley
Podiatrist Prosthetist
245 S Parkside Dr
Colorado Springs
, Colorado 80910-3131
Mr. Michael Ray Hartley
Podiatrist Prosthetist
245 S Parkside Dr
Colorado Springs
, Colorado 80910-3131
(719) 520-0218
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Michael Ray Hartley
- 245 S Parkside Dr
- Colorado Springs, CO
- Zip : 80910-3131
- Fax : (719) 520-0218
- Phone : (719) 520-9700
Second Address
- Mr. Michael Ray Hartley
- 245 S Parkside Dr
- Colorado Springs, CO
- Zip : 80910-3131
- Fax : (719) 520-0218
- Phone : (719) 520-9700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2881 | |
| N | 222Z00000X | Podiatrist | 2881 | |
| Y | 224P00000X | Prosthetist | 2881 |
National Provider Identifier
| NPI | 1033616297 |
|---|---|
| Provider Name | Mr. Michael Ray Hartley |
| First Address | Colorado Springs, CO 80910-3131 |
| Second Address | Colorado Springs, CO 80910-3131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2018 |
| Last Update Date | 16/06/2018 |
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.