Healthcare Provider Details

I. General information

NPI: 1891617676
Provider Name (Legal Business Name): PERSONAL INTEGRATIVE PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 W 56TH AVE APT 210
ARVADA CO
80002-3191
US

IV. Provider business mailing address

7035 W 56TH AVE APT 210
ARVADA CO
80002-3191
US

V. Phone/Fax

Practice location:
  • Phone: 804-307-4267
  • Fax:
Mailing address:
  • Phone: 804-307-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELISABETH SPEARS
Title or Position: PRESIDENT/OWNER
Credential: DPT
Phone: 804-307-4267