Dr. Shane Carr, DPT
Physical Therapist, Orthopedic in Peterson Afb, CO. Individual provider (NPI-1).
NPI number1124499280
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1124499280
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Carr
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2015
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 0016363 | CO | Yes |
Practice location
559 Vincent StAttn: 21 Mdos/Sgof - Fam Hlth
Peterson Afb, CO 80914-1540
Phone 719-526-2273 · Fax 877-813-1756
Mailing address
559 Vincent StAttn: 21 Mdos/Sgof - Fam Hlth
Peterson Afb, CO 80914-1540
Phone 719-526-2273 · Fax 877-813-1756
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