Healthcare Provider Details

I. General information

NPI: 1487824066
Provider Name (Legal Business Name): TONI GEER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 GRAPE AVE
BOULDER CO
80304-2118
US

IV. Provider business mailing address

311 MAPLETON AVE
BOULDER CO
80304-3979
US

V. Phone/Fax

Practice location:
  • Phone: 303-588-5803
  • Fax: 720-465-9320
Mailing address:
  • Phone: 303-544-5700
  • Fax: 303-544-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number3629
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: