Basic Information
| Provider Information | |||||||||
| NPI: | 1245263920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHLEGEL | ||||||||
| FirstName: | CHRIS | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1501 | ||||||||
| Address2: | |||||||||
| City: | RIFLE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 816501501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702746102 | ||||||||
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| Practice Location | |||||||||
| Address1: | 73 SIPPRELLE DR | ||||||||
| Address2: | SUITE K | ||||||||
| City: | PARACHUTE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 816359213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702855731 | ||||||||
| FaxNumber: | 9702856064 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8501 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.