Provider Demographics
NPI:1730490962
Name:CARTER, LINDA C (PT CMPT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:CARTER
Suffix:
Gender:F
Credentials:PT CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 BLAKE AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4275
Mailing Address - Country:US
Mailing Address - Phone:970-384-5096
Mailing Address - Fax:970-947-9048
Practice Address - Street 1:406 HYLAND PARK DR
Practice Address - Street 2:SUITE F
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4274
Practice Address - Country:US
Practice Address - Phone:970-945-0506
Practice Address - Fax:970-945-0409
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO785OtherCOLORADO LICENSE