Provider Demographics
NPI:1245263920
Name:SCHLEGEL, CHRIS A (PT)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:SCHLEGEL
Suffix:
Gender:M
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:PO BOX 1501
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-1501
Mailing Address - Country:US
Mailing Address - Phone:970-274-6102
Mailing Address - Fax:
Practice Address - Street 1:73 SIPPRELLE DR
Practice Address - Street 2:SUITE K
Practice Address - City:PARACHUTE
Practice Address - State:CO
Practice Address - Zip Code:81635-9213
Practice Address - Country:US
Practice Address - Phone:970-285-5731
Practice Address - Fax:970-285-6064
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist