MEDICARE: MRS. MOLLIE KATHRYN RESSLER 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	7129	CO
2	2251S0007X	Sports Physical Therapist	7129	CO
3	2251X0800X	Orthopedic Physical Therapist	7129	CO
4	2255A2300X	Athletic Trainer		CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	658789	OTHER	CO	BC/BS ID

General Provider Information

NPI Number	:	1699795906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MOLLIE KATHRYN RESSLER MPT

Provider Business Mailing Address
First Line	:	4318 VISTA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3342
Country	:	US
Telephone Number	:	970-204-0948
Fax Number	:	970-377-1839

Provider Business Practice Location Address
First Line	:	1939 WILMINGTON DR
Second Line	:	SUITE 101
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-6299
Country	:	US
Telephone Number	:	970-377-1422
Fax Number	:	970-377-1839

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/11/2025

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Directions to “ MRS. MOLLIE KATHRYN RESSLER MPT” Practice Location

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