Jason Charles Amrich, PT

Individual provider Active NPI Physical Therapist · Boulder, CO

NPI 1831245646 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831245646
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
7758 (CO)
Practice address
428 Arapahoe Ave
Boulder, CO 80302-5825
Phone
(720) 289-1053
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7758COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7758 CO Yes

Addresses

Primary practice location

428 Arapahoe Ave
Boulder, CO 80302-5825

Mailing address

428 Arapahoe Ave
Boulder, CO 80302-5825
Phone (720) 289-1053

Other providers in Boulder, CO

All providers in Boulder, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.