Douglass Woodrow Black in Colorado Springs - Sports
Douglass Woodrow Black - NPI 1710025085
Douglass Woodrow Black is a Sports in Colorado Springs, Colorado. Douglass Woodrow Black practices all healthcare services and medical treatments related to Sports. The NPI Number for Douglass Woodrow Black is 1710025085. The last update date is 2022-04-13.
Douglass Woodrow Black's current location address is 2065 Kittridge Ave, Colorado Springs, Colorado. You can contact this provider via phone number 9194776843. The mailing address for Douglass Woodrow Black is 2065 Kittridge Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglass Woodrow Black |
|---|---|
| Address | 2065 Kittridge Ave, Colorado Springs, Colorado |
| Phone Number | 9194776843 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, DPT, A |
NPI Number Detail
| NPI Number | 1710025085 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 2065 Kittridge Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809193889 |
| Phone Number | 9194776843 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PTL.0007135 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique identification code assigned to Douglass Woodrow Black by the Centers for Medicare & Medicaid Services?
The Douglass Woodrow Black has been issued the NPI (National Provider Identifier) 1710025085. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Douglass Woodrow Black's facilities are geographically located?
The facilities of Douglass Woodrow Black are physically situated at the following location: 2065 Kittridge Ave, Colorado Springs, CO, 809193889.
What is the area of specialization for Douglass Woodrow Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglass Woodrow Black is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710025085 to Douglass Woodrow Black?
The Centers for Medicare & Medicaid Services originally issued the 1710025085 to Douglass Woodrow Black on 2007-02-01.
As of what date were the Douglass Woodrow Black's details last updated?
The information pertaining to the Douglass Woodrow Black, including its address, specialty, and other details, was most recently updated on 2022-04-13.