1174964985 NPI number — BRIDGET ANNE HOLROYD DPT

Table of content: BRIDGET ANNE HOLROYD DPT (NPI 1174964985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174964985 NPI number — BRIDGET ANNE HOLROYD DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLROYD
Provider First Name:
BRIDGET
Provider Middle Name:
ANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
BRIDGET
Provider Other Middle Name:
HOLROYD
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174964985
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
68 SCHOOL RD
Provider Second Line Business Mailing Address:
STE 150
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-262-7421
Provider Business Mailing Address Fax Number:
970-262-8462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
68 SCHOOL RD
Provider Second Line Business Practice Location Address:
FL 1
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80443-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-262-7421
Provider Business Practice Location Address Fax Number:
970-262-8462
Provider Enumeration Date:
07/09/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PTL.0012439 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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