Breana Lynn Koffler
Physical Therapist Rehabilitation Practitioner
413 Summit Blvd Suite 102
Broomfield
, Colorado 80021-8294
Breana Lynn Koffler
Physical Therapist Rehabilitation Practitioner
413 Summit Blvd Suite 102
Broomfield
, Colorado 80021-8294
(303) 912-4959
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About
Features
Specialties
- Physical Therapist
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Breana Lynn Koffler
- 10650 Yates Dr
- Westminster, CO
- Zip : 80031-1984
- Phone : (303) 912-4959
Second Address
- Breana Lynn Koffler
- 413 Summit Blvd Suite 102
- Broomfield, CO
- Zip : 80021-8294
- Fax : (303) 499-8585
- Phone : (303) 499-6565
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Is Breana Lynn Koffler a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7869 | CO |
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043428873 |
|---|---|
| Provider Name | Breana Lynn Koffler |
| First Address | Westminster, CO 80031-1984 |
| Second Address | Broomfield, CO 80021-8294 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 22/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7869 | PT LISCENSE NUMBER (01) | 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.