Basic Information
| Provider Information | |||||||||
| NPI: | 1275146193 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SZYMANSKI | ||||||||
| FirstName: | COLIN | ||||||||
| MiddleName: | PATRICK | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15000 W 6TH AVE UNIT 106-B | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804016586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7205416817 | ||||||||
| FaxNumber: | 7205416818 | ||||||||
| Practice Location | |||||||||
| Address1: | 15000 W 6TH AVE UNIT 106-B | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804016586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7205416817 | ||||||||
| FaxNumber: | 7205416818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2020 | ||||||||
| LastUpdateDate: | 05/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT028886 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 18286 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.