Individual
KELLY DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 MANHATTAN CIR STE 100, BOULDER, CO 80303-4272
(303) 543-1201
(303) 543-1206
Mailing address
5350 MANHATTAN CIR STE 100, BOULDER, CO 80303-4272
(303) 543-1201
(303) 543-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7742
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7742
PHYSICAL THERAPY LICENSE
CO
Enumeration date
07/11/2005
Last updated
09/08/2023
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