Healthcare Provider Details

I. General information

NPI: 1366703480
Provider Name (Legal Business Name): CHRISTOPHER WAYNE ROBL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 RIDGELINE BLVD STE 102
HIGHLANDS RANCH CO
80129
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 720-560-5326
  • Fax: 720-294-0332
Mailing address:
  • Phone: 303-546-9158
  • Fax: 303-546-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11346
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: