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Contact Information

FRED WORTH
3715 THATCHER AVE STE B
PUEBLO, CO81005-1255
 Phone: 719-470-2281
 Fax: 719-301-7218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for FRED WORTH · (Male)

NPI Number 1649054362
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2023
Last updated 08/23/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 0014563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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