Healthcare Provider Details

I. General information

NPI: 1003701434
Provider Name (Legal Business Name): SYDNEY GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23770 E SMOKY HILL RD
AURORA CO
80016-3089
US

IV. Provider business mailing address

8745 W BERRY AVE APT 104
DENVER CO
80123-0725
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-6655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: