Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 6031 | CO |
NPI | 1033167655 |
---|---|
Provider Name | Mr. Michael W Applebee |
First Address | Colorado Springs, CO 80920-1024 |
Second Address | Colorado Springs, CO 80920-1024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 06/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q64260 | (02) |