NPI 1528642212

Kelli Middleton, PTA

Practitioner Physical Medicine & Rehabilitation Physician Longmont, CO

Practice location

Address: 1425 Belmont Dr, Longmont, CO 80503-2358
Phone: (303) 772-9292
Mailing address: 100 Cambridge Ln, Manchester, TN 37355-2877

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 7630 (TN)

Other Physical Medicine & Rehabilitation providers in Colorado →

Registry record

NPI: 1528642212
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2021
Record last updated: 8 May 2021

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.