NPI 1013416122
Melissa Wynne-Theisen, PTDPT
Practice location
- Address
- 115 E Harmony Rd, Fort Collins, CO 80525-3280
- Phone
- (970) 221-1201
- Mailing address
- 1605 Shenandoah Cir, Fort Collins, CO 80525-3428
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1013416122
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Feb 2018
- Record last updated
- 3 Jul 2024
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.