Mr Douglas Merrill Wisoff, PHYSICAL THERAPIST - Physical Therapist in Boulder, CO

Mr Douglas Merrill Wisoff, PHYSICAL THERAPIST is a Physical Therapist based in Boulder, Colorado. Mr Douglas Merrill Wisoff is licensed to practice in Colorado (license number 3112) and his current practice location is 1295 S Broadway St, Suite B, Boulder, Colorado. He can be reached at his office (for appointments etc.) via phone at (303) 499-2062.

NPI number for Mr Douglas Merrill Wisoff is 1265580773 and his current mailing address is Po Box 3602, Boulder, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265580773.

Contact Information

Mr Douglas Merrill Wisoff, PHYSICAL THERAPIST
1295 S Broadway St, Suite B,
Boulder, CO 80305-6768
(303) 499-2062
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Douglas Merrill Wisoff
GenderMale
SpecialityPhysical Therapist
Location1295 S Broadway St, Boulder, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265580773
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Douglas Merrill Wisoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265580773NPI-NPPES
3112OtherCOPHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3112 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Merrill Wisoff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Douglas Merrill Wisoff, PHYSICAL THERAPIST
Po Box 3602,
Boulder, CO 80307-3602

Ph: (303) 499-2062
Mr Douglas Merrill Wisoff, PHYSICAL THERAPIST
1295 S Broadway St, Suite B,
Boulder, CO 80305-6768

Ph: (303) 499-2062

Reviews and Comments


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