Provider Demographics
NPI:1770791121
Name:ORKILD, MARGARET RUTH (PT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:RUTH
Last Name:ORKILD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 DEL RIO RD
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-8973
Mailing Address - Country:US
Mailing Address - Phone:970-532-0308
Mailing Address - Fax:
Practice Address - Street 1:4950 THUNDERBIRD DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-3835
Practice Address - Country:US
Practice Address - Phone:720-562-4413
Practice Address - Fax:720-562-4465
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist