NPI 1336598705

Michael Custer

Practitioner Physical Therapy Assistant Durango, CO

Practice location

Address: 453 E 32nd St, Durango, CO 81301-6013
Phone: (508) 851-4360

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA.0013719 (CO)

Other Physical Therapy Assistant providers in Colorado →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9182 (MA)

Registry record

NPI: 1336598705
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2016
Record last updated: 7 Jun 2016

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.