Provider Demographics
NPI:1043796261
Name:OLSON-STUDLER, NICOLAS (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:OLSON-STUDLER
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4615
Mailing Address - Country:US
Mailing Address - Phone:720-805-2303
Mailing Address - Fax:720-573-6704
Practice Address - Street 1:3916 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4615
Practice Address - Country:US
Practice Address - Phone:720-805-2303
Practice Address - Fax:720-573-6704
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14358-24225100000X
COCP028239T2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist