Individual
MICHAEL KOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5353 MANHATTAN CIR STE 102, BOULDER, CO 80303-4200
(720) 352-0678
(720) 441-0485
Mailing address
115 MONARCH CT, LOUISVILLE, CO 80027-1242
(720) 352-0678
(720) 441-0485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5050
PT LICENSE #
CO
Enumeration date
03/12/2007
Last updated
06/23/2025
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