Search › Colorado › 171WH0202X
Matt Glass
NPI 1023460854 · on the registry since 2016
Practice
- Address
- 3900 S Wadsworth Blvd
Ste 200
Lakewood, CO 80235 - Phone
- (720) 504-0126
- Organisation at this address
- Aithr Dealer Inc
Horizon Home Care
Athena M Mccullough
Fundamental Balance Inc
Denver Sport & Spine, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 171WH0202X
171WH0202X
- Also registered as
- 171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X
171WH0202X - Licence states on file
- VA, DE, NE, PA, WA, LA, MD, MN, MS, NV, NM, OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado