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General NPI Number Information
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NPI Number | 1366215147
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Entity Type | Organization
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Legal Business Name | THE PHYSIOROOM, LLC
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 11665 RIDGELINE DR STE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3959
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Country | US
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Telephone | 720-316-9974
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Fax | 720-294-0332
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Provider Business Mailing Address
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Address Line | PO BOX 21150
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City | BOULDER
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State | CO
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Zip | 80308-4150
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Country | US
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Telephone | 720-316-9974
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Fax | 720-294-0332
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Authorized Official
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Title or Position | SOLE OWNER
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Name | CHRISTOPHER WAYNE ROBL
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Credential | DPT
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Telephone | 720-560-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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