Provider Demographics
NPI:1003350711
Name:KOLB, MORGAN LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LYNN
Last Name:KOLB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W HAMPDEN PL
Mailing Address - Street 2:SUITE #10
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2470
Mailing Address - Country:US
Mailing Address - Phone:303-781-7511
Mailing Address - Fax:303-781-7513
Practice Address - Street 1:401 W HAMPDEN PL
Practice Address - Street 2:SUITE #10
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2470
Practice Address - Country:US
Practice Address - Phone:303-781-7511
Practice Address - Fax:303-781-7513
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014426225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist