Provider Demographics
NPI:1336578160
Name:QUANTIFIED PERFORMANCE P C
Entity Type:Organization
Organization Name:QUANTIFIED PERFORMANCE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-247-9415
Mailing Address - Street 1:1485 FLORIDA RD
Mailing Address - Street 2:SUITE C206
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6881
Mailing Address - Country:US
Mailing Address - Phone:970-247-9415
Mailing Address - Fax:970-247-9714
Practice Address - Street 1:1485 FLORIDA RD
Practice Address - Street 2:SUITE C206
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-6881
Practice Address - Country:US
Practice Address - Phone:970-247-9415
Practice Address - Fax:970-247-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty