Doctor Name: | JEFFREY NOLLEN |
NPI Number: | 1194139584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0012622 |
Business Practice Address: | 4348 Woodlands Blvd 100 Castle Rock, CO - 801042814 |
Business Phone Number: | 3036605349 |
Business Fax Number: | |
Mailing Address: | 4346 Woodlands Blvd, 100 CASTLE ROCK |
State: | CO |
Postal Code: | 80104 |
Phone Number: | 3036605349 |
Fax Number: | 3036605379 |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0012622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |