NPI 1578601969

Creekside Physical Medicine PLLC

Organisation Neuromusculoskeletal Medicine & OMM Physician Boulder, CO

Practice location

Address: 5387 Manhattan Cir STE 201, Boulder, CO 80303-4284
Phone: (303) 494-2705
Fax: (303) 494-2706

Authorised official

Name: David E Tanner
Title: Principal Clinician
Phone: (303) 494-2705

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 38635 (CO)

Other Neuromusculoskeletal Medicine & OMM providers in Colorado →

Registry record

NPI: 1578601969
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 4 Aug 2025

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.