OrganizationActive
Creekside Physical Medicine PLLC
NPI 1972101202 · Neuromusculoskeletal Medicine & OMM Physician · Longmont, CO
Provider details
- NPI number
- 1972101202
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Creekside Physical Medicine PLLC
- Organization subpart
- Yes
- Authorized official
- Louise Thomas, Practice Manager(303) 489-2264
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
600 S Airport Rd Unit Cd
Longmont, CO 80503-6475
Phone: (303) 494-2705
Approximate (ZIP-level) locationGet directions
Mailing address
5387 Manhattan Cir Ste 201
Boulder, CO 80303-4283
Registry dates
- Enumerated
- 2020-10-09
- Last updated
- 2020-10-09
- Certified
- 2020-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.