NPI 1053917278

Owen Mackenzie Roll, PTA

Practitioner Physical Therapy Assistant Thornton, CO

Practice location

Address: 12080 Bellaire Way, Thornton, CO 80241-3600
Phone: (303) 450-2700
Mailing address: 515 S 42nd St, Boulder, CO 80305-5906

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA.0014924 (CO)

Other Physical Therapy Assistant providers in Colorado →

Registry record

NPI: 1053917278
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2020
Record last updated: 11 Dec 2020

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.