NPI 1033326749

Rudy Haberzettl, MSPT

Practitioner Specialist Colorado Springs, CO

Practice location

Address: 1855 Telstar Dr, Colorado Springs, CO 80920-1005
Phone: (719) 310-1741
Mailing address: 6965 Amber Ridge Dr, Colorado Springs, CO 80922-2419

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6876 (CO)

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Registry record

NPI: 1033326749
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.