Provider Demographics
NPI:1447237276
Name:QUICK, NANCY (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:QUICK
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:QUICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, PHD
Mailing Address - Street 1:2001 S SHIELDS ST STE A1
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1828
Mailing Address - Country:US
Mailing Address - Phone:970-797-2431
Mailing Address - Fax:970-797-2509
Practice Address - Street 1:2001 S SHIELDS ST STE A1
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1828
Practice Address - Country:US
Practice Address - Phone:970-797-2431
Practice Address - Fax:970-797-2509
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME290800099Medicaid
MEME0235Medicare ID - Type Unspecified