Provider Demographics
NPI:1033127469
Name:WESTRICK, RICHARD BURTON (DPT, DSC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BURTON
Last Name:WESTRICK
Suffix:
Gender:M
Credentials:DPT, DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 BAD TOELZ RD
Mailing Address - Street 2:ATTN: 10TH SFG(A) MEDICAL
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913
Mailing Address - Country:US
Mailing Address - Phone:719-291-2500
Mailing Address - Fax:719-524-2258
Practice Address - Street 1:1650 COCHRANE CIR # B7500
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4613
Practice Address - Country:US
Practice Address - Phone:719-526-7234
Practice Address - Fax:719-524-2258
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-9250225100000X
MA21124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist