Individual
MRS. WHITNEY TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 PALO PKWY, BOULDER, CO 80301-1540
(303) 357-3330
Mailing address
10184 SAINT PAUL DR, THORNTON, CO 80229-2772
(719) 239-1066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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