NPI 1114245586

Carol Thiele Physical Therapy

Organisation Physical Therapist Broomfield, CO

Practice location

Address: 300 Summit Blvd, Broomfield, CO 80021-8247
Phone: (303) 729-2567
Mailing address: 516 Lincoln Ave, Louisville, CO 80027-1920

Authorised official

Name: Carol Thiele
Title: Physical Therapist
Phone: (303) 673-0778

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1914 (CO)

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Registry record

NPI: 1114245586
Entity type: Organization
NPI issued: 11 May 2010
Record last updated: 11 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.