Indra Oetomo, PT, LAC

NPI 1326005745 · on the registry since 2006

Practice

Address: 8955 S Ridgeline Blvd
Suite 400
Highlands Ranch, CO 80129
Phone: (303) 683-8338
Fax: (303) 683-8809
Organisation at this address: Action Behavior Centers Llc
Action Behavior Centers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 171100000X
171100000X
Also registered as: 2251X0800X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado