Creekside Physical Medicine PLLC
Creekside Physical Medicine PLLC is a Neuromusculoskeletal Medicine & OMM Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.
- Licensed in
- CO
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5387 Manhattan Cir Ste 201Boulder, CO 80303-4284
Phone: (303) 494-2705
Fax: (303) 494-2706
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neuromusculoskeletal Medicine & OMM Physician (primary) | Taxonomy 204D00000X · Licence 38635 (CO) |
|---|
Record details
| NPI number | 1578601969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Tanner — Principal Clinician · (303) 494-2705 |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | August 4, 2025 |
| Certification date | August 4, 2025 |
| Mailing address | 5387 Manhattan Cir, Ste 201, Boulder, CO 80303-4284 |
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David Eric Tanner, DO
5387 Manhattan Cir Ste 201, Boulder, CO 80303-4284 · (303) 494-2705