Organization
HOLISTIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ELISE KREISBERG PT (OWNER)
(720) 226-1448
Entity
Organization
Contact information
Practice address
3010 14TH ST, BOULDER, CO 80304-2610
(720) 226-1448
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 546-9158
(303) 546-9107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C806277
MEDICARE PTAN
CO
01
—
HO675746
BCBS
CO
Enumeration date
05/05/2006
Last updated
01/30/2008
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