Individual
MR. DOUGLAS MERRILL WISOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1295 S BROADWAY ST, SUITE B, BOULDER, CO 80305-6768
(303) 499-2062
Mailing address
PO BOX 3602, BOULDER, CO 80307-3602
(303) 499-2062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3112
PHYSICAL THERAPY LICENSE
CO
Enumeration date
01/08/2007
Last updated
07/08/2007
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