Individual
ALISYN OLIVIA HUMMELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
166 S SAINT VRAIN AVE, ESTES PARK, CO 80517-6355
(970) 672-4302
(855) 492-1614
Mailing address
605 COMMUNITY DR, ESTES PARK, CO 80517-7494
(970) 672-4302
(855) 492-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015569
PHYSICAL THERAPIST LICENSE NUMBER
CO
Enumeration date
05/08/2018
Last updated
11/21/2025
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