MEDICARE: JOHN PHINNEY PT

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	174400000X	Specialist	5460	CO

General Provider Information

NPI Number	:	1750591079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PHINNEY PT

Provider Business Mailing Address
First Line	:	8670 WOLFF CT STE 115
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3692
Country	:	US
Telephone Number	:	303-650-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8670 WOLFF CT STE 115
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3692
Country	:	US
Telephone Number	:	303-650-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	03/07/2016

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Directions to “ JOHN PHINNEY PT” Practice Location

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