Individual
RADHIKA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2150 STADIUM DR, BOULDER, CO 80309-0001
(303) 315-9900
(303) 315-9902
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
PTL.0003944
CO
2251S0007X
Sports Physical Therapist
Primary
PTL.0003944
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64624722
—
CO
Enumeration date
03/11/2008
Last updated
07/06/2021
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