Mitchell Schroeder LLC
Clinic/Center, Physical Therapy in Boulder, CO. Organization (NPI-2).
NPI number1164023768
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1164023768
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitchell Schroeder LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
2505 Walnut St Ste 100Boulder, CO 80302-5744
Phone 303-736-9343 · Fax 844-872-5595
Mailing address
2505 Walnut St Ste 100Boulder, CO 80302-5744
Phone 303-736-9343 · Fax 844-872-5595
Authorized official
Mitchell Schroeder
Owner
3037284177
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