Individual provider · NPI-1
Dr. Andy Kenji Olsen, DO
Physical Medicine & Rehabilitation · Parker, CO
NPI number1144617499
StatusActive
Last updated in NPPESAug 20, 2021
Details
- NPI
- 1144617499
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andy Kenji Olsen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2015
- Certification date
- Aug 20, 2021
- Last updated
- Aug 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | DR.0064796 | CO | Yes |
| 208100000X | Physical Medicine & Rehabilitation | OP60949092 | WA |
Practice location
12230 Lioness WayParker, CO 80134-5603
Phone 720-644-9355 · Fax 720-523-1654
Mailing address
12230 Lioness WayParker, CO 80134-5603
Phone 720-644-9355 · Fax 720-523-1654
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