Most Relevant Information
Provider Data
| NPI Number: | 1003410846 |
| Provider Name: | CLINT FRANCIS TUDAHL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 17290 |
Most Important Dates
| Enumeration Date: | 11/23/2020 |
| Last Updated: | 11/23/2020 |
Provider Practice Location
3255 S WADSWORTH BLVD STE A-2
LAKEWOOD
CO
802275026
Practice Location Phone/Fax
| Phone: | 3039934438 |
| Fax: |
Provider Mailing Location
3255 S WADSWORTH BLVD STE A-2
LAKEWOOD
CO
802275026
Provider Mailing Phone/Fax
| Phone: | 3039934438 |
| Fax: |