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NPI Code Detail

MEDICARE: JENNIFER NICOLE CASTILLO

MEDICARE: JENNIFER NICOLE CASTILLO
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
1225100000XPhysical TherapistPTL.0017747CO

General Provider Information

NPI Number : 1316517360
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NICOLE CASTILLO
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number : 970-627-1103
Fax Number : 970-490-4156
Provider Business Practice Location Address
First Line : 5589 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-8989
Country : US
Telephone Number : 720-516-8807
Fax Number : 720-516-8800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 03/06/2025

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Directions to “ JENNIFER NICOLE CASTILLO ” Practice Location

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