Provider Demographics
NPI:1902894132
Name:AGGELER, TERENCE MCGRATH JR (ATC, LPTA)
Entity Type:Individual
Prefix:MR
First Name:TERENCE
Middle Name:MCGRATH
Last Name:AGGELER
Suffix:JR
Gender:M
Credentials:ATC, LPTA
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Mailing Address - Street 1:575 RIVERGATE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7487
Mailing Address - Country:US
Mailing Address - Phone:970-382-8776
Mailing Address - Fax:970-382-9746
Practice Address - Street 1:575 RIVERGATE
Practice Address - Street 2:SUITE 208
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7487
Practice Address - Country:US
Practice Address - Phone:970-382-8776
Practice Address - Fax:970-382-9746
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2007-08-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer