MEDICARE: DR. AMY ROLSKY PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11655	CO

General Provider Information

NPI Number	:	1043512460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ROLSKY PT, DPT

Provider Business Mailing Address
First Line	:	2747 FLORENCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2984
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2747 FLORENCE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2984
Country	:	US
Telephone Number	:	720-443-3966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	04/04/2022

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