Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WILDERMUTH, PT,DPT,CSCS
ActiveNICOLE WILDERMUTH, PT,DPT,CSCS is a Physical Therapy Assistant healthcare provider located in BOULDER, Colorado. NPI 1588233886 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOULDER, CO
Registration Details
- NPI Number
- 1588233886
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2021 (5.1184745237922 yrs)
- Last Updated
- Jun 21, 2021
- License
-
PTL.0017743 (CO)
Practice Information
- Address
-
2540 FRONTIER AVEBOULDER, CO, 803012400Browse CO providers · Browse ZIP 80301
- Phone
- 7205045835
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| AUDREY M WALDRON | P.T. | 1700883782 |
| MS. NICOLE L PESKIN | PT | 1285631051 |
| ED PESKIN | PT | 1093712861 |
| TERRI L HANDY | PT | 1902803778 |
| MS. LAURA B SHOVE | PT | 1548267313 |
| LEE K BRENNAN | PT | 1457358228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.