MEDICARE: ELIZABETH ROBINSON MPT

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	225100000X	Physical Therapist	0016829	CO

General Provider Information

NPI Number	:	1659630937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ROBINSON MPT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	502-576-3282
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E HARMONY RD STE 140
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3280
Country	:	US
Telephone Number	:	970-221-2201
Fax Number	:

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

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	02/16/2023

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