Elisa Reagan Dorsh, PT, ECHM
Physical Therapist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1649920836
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1649920836
- Entity type
- Individual (NPI-1)
- Name
- Elisa Reagan Dorsh
- Credential
- PT, ECHM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2022
- Certification date
- Apr 29, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTL0008177 | CO | Yes |
Practice location
5927 Spurwood DrColorado Springs, CO 80918
Phone 719-629-6796
Mailing address
4110 Nyala DrColorado Springs, CO 80922-2436
Phone 719-649-5708
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