NPI 1588166532

Matt Destefano, DPT

Practitioner Physical Therapist Telluride, CO

Practice location

Address: 317 E Colorado Ave Balanced Therapy, LLC, Telluride, CO 81435
Phone: (970) 728-8948
Mailing address: PO Box 2512, Telluride, CO 81435-2512

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PTL.0015370 (CO)

Other Physical Therapist providers in Colorado →

Registry record

NPI: 1588166532
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2018
Record last updated: 6 Mar 2018

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.