Healthcare Provider Details

I. General information

NPI: 1326821307
Provider Name (Legal Business Name): ISABELLE ELISE MARSHALL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S COLORADO BLVD STE 150
DENVER CO
80246-1904
US

IV. Provider business mailing address

4464 OAK RD
TULSA OK
74105-4223
US

V. Phone/Fax

Practice location:
  • Phone: 720-542-8737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6423
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: