Healthcare Provider Details

I. General information

NPI: 1740113356
Provider Name (Legal Business Name): COLORADO WALK IN BATH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 S GRANT ST
DENVER CO
80210-4023
US

IV. Provider business mailing address

2015 S GRANT ST
DENVER CO
80210-4023
US

V. Phone/Fax

Practice location:
  • Phone: 303-882-8872
  • Fax:
Mailing address:
  • Phone: 303-882-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: NEIL CESTRA
Title or Position: OWNER
Credential:
Phone: 303-882-8872