Grace Mainwaring, DPT
Physical Therapist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1164083580
StatusActive
Last updated in NPPESMar 15, 2021
Details
- NPI
- 1164083580
- Entity type
- Individual (NPI-1)
- Name
- Grace Mainwaring
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2019
- Certification date
- Mar 15, 2021
- Last updated
- Mar 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
1625 Medical Center Pt Ste 180Colorado Springs, CO 80907-5798
Phone 719-344-9497
Mailing address
2430 Research PkwySte 100
Colorado Springs, CO 80920-1093
Phone 719-623-1050 · Fax 719-623-1051
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