Individual
DAVID WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 30TH ST STE 215, BOULDER, CO 80301-1087
(303) 546-9201
Mailing address
56 S HAZEL CT, DENVER, CO 80219-2023
(406) 396-1723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018972
CO
225700000X
Massage Therapist
Primary
13893
MT
Other
Enumeration date
06/03/2018
Last updated
04/09/2026
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