Healthcare Provider Details

I. General information

NPI: 1568742989
Provider Name (Legal Business Name): NATALIA SHKROBOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W DRY CREEK CIR #100
LITTLETON CO
80120-4478
US

IV. Provider business mailing address

5800 S DAYTON CT
GREENWOOD VLG CO
80111-3542
US

V. Phone/Fax

Practice location:
  • Phone: 303-798-1009
  • Fax:
Mailing address:
  • Phone: 303-667-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: