Search › Colorado › 225100000X
Ivan Ivanov, PT
NPI 1942832803 · on the registry since 2020
Practice
- Address
- 2611 Jones Ave
Pueblo, CO 81004 - Phone
- (719) 564-1735
- Organisation at this address
- Pueblo Care And Rehab
Hope Haven Therapy Pllc
Pueblo Snf Healthcare, Llc
Peak Medical Colorado No. 2, Llc
Peak Medical Colorado No. 2, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 914 Justison St, Wilmington, DE
- 2607 Wyoming Blvd Ne, Albuquerque, NM
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- DE, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-19
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