Healthcare Provider Details
I. General information
NPI: 1629906961
Provider Name (Legal Business Name): TRUE LINE PERFORMANCE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5133 ESSEX AVE
CASTLE ROCK CO
80104-8584
US
IV. Provider business mailing address
5133 ESSEX AVE
CASTLE ROCK CO
80104-8584
US
V. Phone/Fax
- Phone: 530-575-6983
- Fax:
- Phone: 530-575-6983
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROMAN
SEGHEZZI
Title or Position: FOUNDER
Credential: DPT
Phone: 530-575-6983