Individual
ISAIAH J GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1760 E KEN PRATT BLVD STE 405, LONGMONT, CO 80504-5311
(720) 718-5400
(720) 718-5987
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-1103
(704) 904-1569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2518
CO
225100000X
Physical Therapist
2518
ND
Other
Enumeration date
06/21/2021
Last updated
07/10/2025
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