Brett D Boettcher

NPI #1720646722 in Hugo, Colorado

Provider Information

NPI Number: 1720646722
Entity Type: Individual
Name: Brett D Boettcher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 4, 2019
Last Updated: Jun 4, 2019

Practice Location

Address: 111 6TH ST
City: Hugo
State: Colorado
ZIP Code: 80821-2002
Phone: (719) 743-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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