Provider Demographics
NPI:1194619411
Name:DALY, ROBERT NICHOLAS (DPT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:NICHOLAS
Last Name:DALY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 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:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist