Individual
MICHAEL WESTPHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2955 BASELINE RD, BOULDER, CO 80303-2356
(303) 444-8707
Mailing address
2955 BASELINE RD, BOULDER, CO 80303-2356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012891
CO
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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