MEDICARE: KATELYN ROSE ROBESON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	0016157	CO

General Provider Information

NPI Number	:	1316402563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN ROSE ROBESON

Provider Business Mailing Address
First Line	:	1560 PINE GROVE RD
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 PINE GROVE RD
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8003
Country	:	US
Telephone Number	:	970-879-7031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	02/01/2019

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Directions to “ KATELYN ROSE ROBESON ” Practice Location

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