BENNETT SHAKE

COLORADO SPRINGS, CO
NPI1235648866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  0017676)
Enumeration Date2017-09-27
Last Update Date2024-05-02
Business Address
Dr. BENNETT SHAKE DPT
4224 N NEVADA AVE STE 200
COLORADO SPRINGS, CO 80907-4368
Phone number: 719-900-1817
Mailing Address
Dr. BENNETT SHAKE DPT
4082 WARTHOG HTS
COLORADO SPRINGS, CO 80916-3402
Phone number: 214-232-2289
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