Provider Demographics
NPI:1992825525
Name:RANGEL, NANCY B (PT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:B
Last Name:RANGEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 NORTHERN LIGHTS DR
Mailing Address - Street 2:UNIT I
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3163
Mailing Address - Country:US
Mailing Address - Phone:970-229-9675
Mailing Address - Fax:
Practice Address - Street 1:1217 S GREELEY HWY
Practice Address - Street 2:SUITE A
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-3034
Practice Address - Country:US
Practice Address - Phone:307-772-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY308078Medicare ID - Type Unspecified