Provider Demographics
NPI:1528720752
Name:FURLIN, MICHAEL (PT, DPT, OCS, CISSN)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:FURLIN
Suffix:
Gender:M
Credentials:PT, DPT, OCS, CISSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7415 FIREHOUSE VW STE 120
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7284
Mailing Address - Country:US
Mailing Address - Phone:719-483-9664
Mailing Address - Fax:719-204-3327
Practice Address - Street 1:7415 FIREHOUSE VW STE 120
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7284
Practice Address - Country:US
Practice Address - Phone:719-483-9664
Practice Address - Fax:719-204-3327
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0017951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist