Provider Demographics
NPI:1952574360
Name:SALTONSTALL, ROBIN L (PHD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:SALTONSTALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1067
Mailing Address - Country:US
Mailing Address - Phone:303-413-1239
Mailing Address - Fax:303-413-1239
Practice Address - Street 1:765 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1067
Practice Address - Country:US
Practice Address - Phone:303-413-1239
Practice Address - Fax:303-413-1239
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist