Provider Demographics
NPI:1770703159
Name:BALHOFF, MARGARET ELLEN (PT, MFTC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELLEN
Last Name:BALHOFF
Suffix:
Gender:F
Credentials:PT, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W SOUTH BOULDER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1160
Mailing Address - Country:US
Mailing Address - Phone:303-819-8839
Mailing Address - Fax:
Practice Address - Street 1:317 W SOUTH BOULDER RD STE 3
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1160
Practice Address - Country:US
Practice Address - Phone:303-819-8839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0110516101YM0800X
COMFTC.0014035106H00000X
CO8536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist