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 9:20 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