Healthcare Provider Details

I. General information

NPI: 1720230741
Provider Name (Legal Business Name): WEST THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 12/23/2022
Certification Date: 12/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 30TH ST STE 215
BOULDER CO
80301-1026
US

IV. Provider business mailing address

1800 30TH ST STE 215
BOULDER CO
80301-1026
US

V. Phone/Fax

Practice location:
  • Phone: 303-546-9201
  • Fax: 303-545-5080
Mailing address:
  • Phone: 303-546-9201
  • Fax: 303-545-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4600
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHRISTOPHER ALAN WEST
Title or Position: PRESIDENT
Credential: MPT
Phone: 303-546-9201