MEDICARE: ROBIN L SALTONSTALL PHD

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	172M00000X	Mechanotherapist

General Provider Information

NPI Number	:	1952574360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN L SALTONSTALL PHD

Provider Business Mailing Address
First Line	:	765 POPLAR AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-1067
Country	:	US
Telephone Number	:	303-413-1239
Fax Number	:	303-413-1239

Provider Business Practice Location Address
First Line	:	765 POPLAR AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-1067
Country	:	US
Telephone Number	:	303-413-1239
Fax Number	:	303-413-1239

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

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	04/07/2008

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Directions to “ ROBIN L SALTONSTALL PHD” Practice Location

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