Healthcare Provider Details

I. General information

NPI: 1891045803
Provider Name (Legal Business Name): AIMEE LEIGH ROBB PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE LEIGH SHEPHERD PT, DPT

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 MITCHELL WAY STE 208
ERIE CO
80516-5446
US

IV. Provider business mailing address

11169 E I25 FRONTAGE RD STE C
FIRESTONE CO
80504-5211
US

V. Phone/Fax

Practice location:
  • Phone: 720-600-0370
  • Fax: 720-600-0374
Mailing address:
  • Phone: 720-600-0370
  • Fax: 720-600-0374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL0011906
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: