Provider Demographics
NPI:1770151771
Name:SATKOWIAK, RYAN (DPT, PT)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SATKOWIAK
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11994 RIDGE PKWY APT 212
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-5158
Mailing Address - Country:US
Mailing Address - Phone:517-719-7237
Mailing Address - Fax:
Practice Address - Street 1:11994 RIDGE PKWY APT 212
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-5158
Practice Address - Country:US
Practice Address - Phone:517-719-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0017700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist