MEDICARE: EMBODYMENT STUDIO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1447484969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBODYMENT STUDIO, INC.

Provider Business Mailing Address
First Line	:	170 GRAPE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-5806
Country	:	US
Telephone Number	:	303-956-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 E 1ST AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-4202
Country	:	US
Telephone Number	:	303-956-2600
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MRS. CATHERINE ANN HODGES
Credential	:	MSPT, DPT
Telephone Number	:	303-956-2600

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	08/11/2009

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Directions to “EMBODYMENT STUDIO, INC. ” Practice Location

Language	Start Address	Practice Location

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