Healthcare Provider Details

I. General information

NPI: 1073262770
Provider Name (Legal Business Name): CAROLINE NICOLE MARNIN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3996 RED CEDAR DR UNIT A6
HIGHLANDS RANCH CO
80126-8066
US

IV. Provider business mailing address

3996 RED CEDAR DR UNIT A6
HIGHLANDS RANCH CO
80126-8066
US

V. Phone/Fax

Practice location:
  • Phone: 303-800-2829
  • Fax: 720-408-0320
Mailing address:
  • Phone: 303-800-2829
  • Fax: 720-408-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP030088T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: