Healthcare Provider Details

I. General information

NPI: 1114296068
Provider Name (Legal Business Name): NEUROMUSCULAR STRATEGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 MANHATTAN CIR STE 102
BOULDER CO
80303-4200
US

IV. Provider business mailing address

115 MONARCH CT
LOUISVILLE CO
80027-1242
US

V. Phone/Fax

Practice location:
  • Phone: 720-352-0678
  • Fax: 720-441-0485
Mailing address:
  • Phone: 720-352-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number5050
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierCOAAA3546
Identifier TypeOTHER
Identifier StateCO
Identifier IssuerPTAN #

VIII. Authorized Official

Name: MR. MICHAEL J KOHM
Title or Position: OWNER
Credential: PT
Phone: 720-352-0678