Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dynamic Athlete PLLC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1841986494

Dynamic Athlete PLLC is a Sports Medicine (Internal Medicine) Physician in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1790 30th St Ste 270
Boulder, CO 80301-1085
Phone: (303) 997-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X

Record details

NPI number1841986494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Allison — Practice Manager · (303) 997-1733
NPI enumeratedApril 17, 2023
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address1790 30th St Ste 270, Boulder, CO 80301-1085

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