Dreiling Jack Green, DPT
Physical Therapist in Frisco, CO. Individual provider (NPI-1).
NPI number1265026009
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1265026009
- Entity type
- Individual (NPI-1)
- Name
- Dreiling Jack Green
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0017314 | CO | Yes |
Practice location
360 Peak One Dr Ste 190Frisco, CO 80443-5868
Phone 970-668-0888 · Fax 970-668-0227
Mailing address
2472 Patterson Rd Unit 8Grand Junction, CO 81505-1100
Phone 970-241-0202 · Fax 970-245-0250
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