Healthcare Provider Details

I. General information

NPI: 1972434694
Provider Name (Legal Business Name): ANDREW JOSEPH DAVIS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 S PARKER RD STE A15
AURORA CO
80014-3108
US

IV. Provider business mailing address

1049 K ST
PAWNEE CITY NE
68420-3661
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-8598
  • Fax:
Mailing address:
  • Phone: 402-852-6027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058653T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: