Individual provider · Type 1 NPI

Mackenzie Sue Rae Whiteside

Physical Therapist · Boulder, CO

NPI number 1831055219 Active

Practice location

2150 Stadium Drive, 2nd Floor
Boulder, CO 80309-0001

Call (303) 315-9900 Map

Fax (303) 315-9902

Mailing address

6491 Crestbrook Dr
Morrison, CO 80465-2230

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPTL.0021024 (CO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1831055219

Mackenzie Sue Rae Whiteside's National Provider Identifier is 1831055219, issued on Dec 30, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Boulder, CO. The record was last updated on Dec 30, 2025.