Individual ProviderKelly R Slone HaddockPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1604 Pikes Peak Ave, Colorado Springs, CO 80919(719) 630-3193(719) 475-0808PECOS EnrollmentBased on the most recent information from CMS, provider Kelly R Slone Haddock does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1477538569Provider TypeIndividualFull NameHaddock, Kelly R SloneCredentialPTGenderFemaleSole ProprietorNoEnumeration Date12/12/2005Last Updated9/17/2010Contact InformationPractice LocationPractice Address1604 Pikes Peak Ave, Colorado Springs, CO 80919Phone(719) 630-3193Fax(719) 630-3195Mailing LocationMailing Address2233 Academy Place, Ste 50, Colorada Springs, CO 80909Phone(719) 475-0808Fax(719) 475-8822Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT8072Colorado