Individual provider · Type 1 NPI

Jonathan Oldham, PT

Specialist · Boulder, CO

NPI number 1437332764 Active

Practice location

2955 Baseline Rd
Boulder, CO 80303-2356

Fax (303) 444-8109

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X6917 (CO)
Physical Therapist 225100000X6917 (CO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1437332764

Jonathan Oldham, PT's National Provider Identifier is 1437332764, issued on Dec 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boulder, CO. The record was last updated on Dec 10, 2007.