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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC GUSTAFSON

Active

ERIC GUSTAFSON is a Physical Therapy Assistant healthcare provider located in BOULDER, Colorado. NPI 1700285137 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOULDER, CO

Registration Details

NPI Number
1700285137
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2014 (11.984188373208 yrs)
Last Updated
Sep 29, 2024
Licenses
070-021112 (IL)
PTL.0018005 (CO)

Practice Information

Address
2150 STADIUM DRIVE
BOULDER, CO, 803094206
Browse CO providers · Browse ZIP 80309
Phone
3033159900
Fax
3033159902
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

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.