Doctor Name: | BREANA LYNN KOFFLER |
NPI Number: | 1043428873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | |
Business Practice Address: | 413 Summit Blvd Suite 102 Broomfield, CO - 800218294 |
Business Phone Number: | 3034996565 |
Business Fax Number: | 3034998585 |
Mailing Address: | 10650 Yates Dr, WESTMINSTER |
State: | CO |
Postal Code: | 800311984 |
Phone Number: | 3039124959 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |