Individual
JOELLE WISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2935 BASELINE RD STE 300, BOULDER, CO 80303-2367
(303) 444-2951
Mailing address
1137 LAZY Z RD, NEDERLAND, CO 80466-9642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8967
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8967
PT LICENSE #
CO
Enumeration date
03/12/2007
Last updated
07/08/2007
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