NPI 1104083153

Roberta Gene Wiener, MLS

Practitioner Mechanotherapist Colorado Springs, CO

Practice location

Address: 1426 Cheyenne Blvd, Colorado Springs, CO 80906-3009
Phone: (719) 471-2587

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 130183 (CO)

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Registry record

NPI: 1104083153
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2008
Record last updated: 19 May 2008

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.