MEDICARE: DR. JULIANNE M KEITH DPT

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	4836	NM
2	225100000X	Physical Therapist	PTL.0017933	CO
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1831542406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANNE M KEITH DPT

Provider Business Mailing Address
First Line	:	7833 W 38TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6109
Country	:	US
Telephone Number	:	303-817-8591
Fax Number	:	303-652-4993

Provider Business Practice Location Address
First Line	:	433 SUMMIT BLVD UNIT 104
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8299
Country	:	US
Telephone Number	:	505-312-7930
Fax Number	:

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

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	12/18/2025

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