Individual provider · Type 1 NPI

Kelly Bossola, PT

Pediatric Physical Therapist · Edwards, CO

NPI number 1811177322 Active

Practice location

320 Beard Creek Rd Ste 1100
Edwards, CO 81632-6433

Mailing address

PO Box 40000
Vail, CO 81658-7520

Other practice locations

  • 181 W Meadow Dr, Vail, CO 81657-5242 · (970) 569-7638

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT016522 (PA)
Pediatric Physical Therapist Primary 2251P0200XPT016522 (PA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

5 other providers at this address

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About NPI 1811177322

Kelly Bossola, PT's National Provider Identifier is 1811177322, issued on Nov 13, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Edwards, CO. The record was last updated on Nov 3, 2025.