Healthcare Provider Details

I. General information

NPI: 1003308891
Provider Name (Legal Business Name): BRENNAN R SEEVERS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6377 S REVERE PKWY STE 250
CENTENNIAL CO
80111-6429
US

IV. Provider business mailing address

8501 TURNPIKE DR UNIT 100
WESTMINSTER CO
80031-7042
US

V. Phone/Fax

Practice location:
  • Phone: 720-663-9331
  • Fax:
Mailing address:
  • Phone: 303-430-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0017358
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: