Organization
CREEKSIDE PHYSICAL MEDICINE PLLC
Active
Parent organization
CREEKSIDE PHYSICAL MEDICINE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREEKSIDE PHYSICAL MEDICINE PLLC
Authorized official
LOUISE THOMAS (PRACTICE MANAGER)
(303) 489-2264
Entity
Organization
Contact information
Practice address
600 S AIRPORT RD UNIT CD, LONGMONT, CO 80503-6475
(303) 494-2705
Mailing address
5387 MANHATTAN CIR STE 201, BOULDER, CO 80303-4283
(303) 494-2705
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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