NPI 1053003202 · live from the CMS NPI Registry
Nicole Anders-Prosen
Physical Therapist in Greeley, CO. National Provider Identifier 1053003202, active.
NPI record
| NPI | 1053003202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4617 W 20th St Unit A, Greeley, CO 80634 |
| Practice phone | 970-352-9022 |
| Mailing address | Po Box 312, Sequim, WA 98382 |
| Enumerated | May 25, 2023 |
| Last updated | April 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PTL.0019125 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.