Alyssa Vankeulen, DPT

Individual provider Active NPI Physical Therapist · Conifer, CO

NPI 1952175754 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1952175754
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTL.0018473 (CO)
Practice address
25577 Conifer Rd Unit 125
Conifer, CO 80433-9068
Phone
(303) 838-7444
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0018473 CO Yes

Addresses

Primary practice location

25577 Conifer Rd Unit 125
Conifer, CO 80433-9068

Mailing address

8859 Black Mountain Dr
Conifer, CO 80433-9715
Phone (507) 828-6654

Other providers in Conifer, CO

All providers in Conifer, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.