Organization
DYNAMIC ATHLETE PLLC
Active
Organization
DYNAMIC ATHLETE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ALLISON (PRACTICE MANAGER)
(303) 997-1733
Entity
Organization
Contact information
Practice address
1790 30TH ST STE 270, BOULDER, CO 80301-1085
(303) 997-1733
Mailing address
1790 30TH ST STE 270, BOULDER, CO 80301-1085
(303) 997-1733
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
01/10/2025
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