Individual provider · Type 1 NPI
Jose Marcelo E. Souza Mafra, PT
Geriatric Physical Therapist · Trinidad, CO
Practice location
102 S Bonaventure Ave
Trinidad, CO 81082-2054
Fax (710) 846-8071
Mailing address
7620 Grizzly Rose Way
Colorado Springs, CO 80923-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | PTL.0016237 (CO) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
Another provider at this address
About NPI 1841148624
Jose Marcelo E. Souza Mafra, PT's National Provider Identifier is 1841148624, issued on Mar 18, 2026. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Trinidad, CO. The record was last updated on Mar 18, 2026.