Individual
JEFFREY AARON SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2150 STADIUM DR, BOULDER, CO 80309-0001
(303) 315-9900
(303) 315-9902
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 315-9900
(303) 315-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60505
OR
225100000X
Physical Therapist
Primary
PTL.0014420
CO
2251X0800X
Orthopedic Physical Therapist
39908
CA
Other
Enumeration date
02/05/2013
Last updated
11/09/2017
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