Antoinette Vastenburg
Physical Therapist Physical Therapist - Sports
4150 Darley Ave Suite8
Boulder
, Colorado 80305-6557
Antoinette Vastenburg
Physical Therapist Physical Therapist - Sports
4150 Darley Ave Suite8
Boulder
, Colorado 80305-6557
(303) 447-9312
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Antoinette Vastenburg
- 470 Gold Run Rd
- Boulder, CO
- Zip : 80302-8743
- Phone : (303) 447-9312
Second Address
- Antoinette Vastenburg
- 4150 Darley Ave Suite8
- Boulder, CO
- Zip : 80305-6557
- Phone : (303) 494-4100
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FAQs
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What type of doctor is Antoinette Vastenburg
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Is Antoinette Vastenburg a sole practitioner?
Is Antoinette Vastenburg accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3608 | CO |
| N | 2251S0007X | Physical Therapist - Sports | 3608 | CO |
National Provider Identifier
| NPI | 1205960234 |
|---|---|
| Provider Name | Antoinette Vastenburg |
| First Address | Boulder, CO 80302-8743 |
| Second Address | Boulder, CO 80305-6557 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 02/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64770095 | (05) | CO |
| 900009757 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.