Individual
MRS. JANE MILLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2955 BASELINE RD, BOULDER, CO 80303-2356
(303) 444-8707
(303) 444-8109
Mailing address
1705 GARLAND LN, BOULDER, CO 80304-2201
(303) 449-9061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3155
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3155
PT LICENSE
CO
Enumeration date
09/12/2006
Last updated
07/08/2007
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