Provider Demographics
NPI:1912951666
Name:KUPFER, VICTOR P (PT)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:P
Last Name:KUPFER
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Gender:M
Credentials:PT
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Mailing Address - Street 1:30940 STAGECOACH BLVD
Mailing Address - Street 2:SUITE E110
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7984
Mailing Address - Country:US
Mailing Address - Phone:303-674-1594
Mailing Address - Fax:303-674-9870
Practice Address - Street 1:30940 STAGECOACH BLVD
Practice Address - Street 2:SUITE E110
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7984
Practice Address - Country:US
Practice Address - Phone:303-674-1594
Practice Address - Fax:303-674-9870
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-05-02
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Provider Licenses
StateLicense IDTaxonomies
CO2943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO802488Medicare PIN