Individual
ANTOINETTE VASTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4150 DARLEY AVE, SUITE8, BOULDER, CO 80305-6557
(303) 494-4100
Mailing address
470 GOLD RUN RD, BOULDER, CO 80302-8743
(303) 447-9312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3608
CO
2251S0007X
Sports Physical Therapist
3608
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64770095
—
CO
Enumeration date
03/14/2007
Last updated
03/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us