Provider Demographics
NPI:1477366524
Name:STRASBURGER, SAMUEL THOMAS (DPT)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:THOMAS
Last Name:STRASBURGER
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 1:1000 GRANBY PARK DR S
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:CO
Mailing Address - Zip Code:80446-5304
Mailing Address - Country:US
Mailing Address - Phone:719-930-8349
Mailing Address - Fax:
Practice Address - Street 1:1000 GRANBY PARK DR S
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:CO
Practice Address - Zip Code:80446-5304
Practice Address - Country:US
Practice Address - Phone:719-930-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0020351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist