Suzanne M Phillips is a Sports in Boulder, Colorado. Suzanne M Phillips practices all healthcare services and medical treatments related to Sports. The NPI Number for Suzanne M Phillips is 1699934059. The last update date is 2017-11-09.
Suzanne M Phillips's current location address is 5450 Western Ave, Boulder, Colorado. You can contact this provider via phone number 3033159900 and fax number 3033159902. The mailing address for Suzanne M Phillips is 5450 Western Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne M Phillips |
|---|---|
| Address | 5450 Western Ave, Boulder, Colorado |
| Phone Number | 3033159900 |
| Fax Number | 3033159902 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1699934059 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2017-11-09 |
Provider Mailing Address Detail
| Address | 5450 Western Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803012709 |
| Phone Number | 3033159900 |
| Fax Number | 3033159902 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PTL.0003355 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43026206 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Suzanne M Phillips by the Centers for Medicare & Medicaid Services?
The Suzanne M Phillips has been issued the NPI (National Provider Identifier) 1699934059. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Suzanne M Phillips is located?
The Suzanne M Phillips is situated at the following address: 5450 Western Ave, Boulder, CO, 803012709.
What is the Suzanne M Phillips's specialty and taxonomy code?
The Suzanne M Phillips's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Suzanne M Phillips receive the assignment of its 1699934059 from the Centers for Medicare & Medicaid Services?
The Suzanne M Phillips was issued its 1699934059 by the Centers for Medicare & Medicaid Services on 2008-06-02.
As of what date was the information pertaining to Suzanne M Phillips, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Suzanne M Phillips, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-11-09.