Healthcare Provider Details

I. General information

NPI: 1376802926
Provider Name (Legal Business Name): KELSEY ROBERTS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 E BELLEVIEW AVE STE #615
GREENWOOD VILLAGE CO
80111-2803
US

IV. Provider business mailing address

8200 E BELLEVIEW AVE STE #615
GREENWOOD VILLAGE CO
80111-2803
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-3333
  • Fax: 303-694-9666
Mailing address:
  • Phone: 303-694-3333
  • Fax: 303-694-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11275
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: