Provider Demographics
NPI:1447632567
Name:PRZYBYLA, JOEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:PRZYBYLA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:PRZYBYLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1015 W HORSETOOTH RD STE 206
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5980
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1015 W HORSETOOTH RD STE 206
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5980
Practice Address - Country:US
Practice Address - Phone:970-500-3427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00182592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic