Most Relevant Information
Provider Data
| NPI Number: | 1003285537 |
| Provider Name: | ALEXANDRA HUMPHRIES |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-06700 |
Most Important Dates
| Enumeration Date: | 09/15/2015 |
| Last Updated: | 06/22/2021 |
Provider Practice Location
234 W GREENWAY ST
DERBY
KS
670372641
Practice Location Phone/Fax
| Phone: | 3167886734 |
| Fax: | 3167884529 |
Provider Mailing Location
4617 W 20TH ST
SUITE A
GREELEY
CO
806343207
Provider Mailing Phone/Fax
| Phone: | 9703529022 |
| Fax: | 9703529048 |