Provider Demographics
NPI:1134328933
Name:MARCHMAN, MAIJA KARLINA (PT)
Entity Type:Individual
Prefix:
First Name:MAIJA
Middle Name:KARLINA
Last Name:MARCHMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MAIJA
Other - Middle Name:KARLINA
Other - Last Name:IVERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2150 HOLLOW BROOK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-8413
Mailing Address - Country:US
Mailing Address - Phone:719-599-5330
Mailing Address - Fax:
Practice Address - Street 1:2150 HOLLOW BROOK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8413
Practice Address - Country:US
Practice Address - Phone:719-599-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9610225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist