Provider Demographics
NPI:1629688924
Name:WOLF, COLBY (MS, RDN, CSCS)
Entity Type:Individual
Prefix:
First Name:COLBY
Middle Name:
Last Name:WOLF
Suffix:
Gender:F
Credentials:MS, RDN, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 W 73RD PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3124
Mailing Address - Country:US
Mailing Address - Phone:401-829-1593
Mailing Address - Fax:
Practice Address - Street 1:6620 W 73RD PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3124
Practice Address - Country:US
Practice Address - Phone:401-829-1593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics