Provider Demographics
NPI:1265780670
Name:BEMIS, ROBERT LEON (DPT)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEON
Last Name:BEMIS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W SPENCER AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2545
Mailing Address - Country:US
Mailing Address - Phone:970-641-2266
Mailing Address - Fax:
Practice Address - Street 1:112 W SPENCER AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2545
Practice Address - Country:US
Practice Address - Phone:970-641-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0011893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist