Keith Eric Christianssen (NPI# 1053492082, PAC ID# 3476446618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1053492082 |
| PAC ID by PECOS | 3476446618 |
| Professional Enrollment ID | I20040203000570 |
| Full Name | Keith Eric Christianssen |
| Organization Legal Name | IMPACT SPORTS MEDICINE PC |
| Address |
300 Summit Blvd Broomfield CO 80021-8247 |
| Phone Number | 3034462200 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8224036751 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Summit Blvd, Broomfield, CO 80021-8247 | 3034462200 | IMPACT SPORTS MEDICINE PC |
| Organization Legal Name | IMPACT SPORTS MEDICINE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marquis | Physical Therapy | Impact Sports Medicine PC | 300 Summit Blvd, Broomfield, CO 80021-8247 |
| Street Address |
300 SUMMIT BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip | 80021-8247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marquis | Physical Therapy | Impact Sports Medicine PC | 300 Summit Blvd, Broomfield, CO 80021-8247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maxine Leota Banecks | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Christine R Riguzzi | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Etienne N Janco | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Jody L Gottesman | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maria Lynn Martin | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Lisa Evensky-stark | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kevin Berg | General Surgery | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kelly E Gahan | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Stephanie M Burke | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Find all physicians in zip 80021 | |||
| City | BROOMFIELD |
| Zip Code | 80021 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BROOMFIELD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Keith Eric Christianssen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.