Provider Demographics
NPI:1962705657
Name:DEGLI, RAYMOND NICHOLAS (DPT)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:NICHOLAS
Last Name:DEGLI
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:PO BOX 883299
Mailing Address - Street 2:SUITE 2
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80488-3299
Mailing Address - Country:US
Mailing Address - Phone:970-879-8026
Mailing Address - Fax:970-879-8046
Practice Address - Street 1:211 N CLINTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-1282
Practice Address - Country:US
Practice Address - Phone:630-876-9186
Practice Address - Fax:630-876-9187
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2016-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPTL0013389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist