Healthcare Provider Details

I. General information

NPI: 1619185832
Provider Name (Legal Business Name): ROCKY MOUNTAIN REHAB MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 FILLMORE ST STE 410 1633 FILLMORE ST STE 410
DENVER CO
80206-1545
US

IV. Provider business mailing address

1633 FILLMORE ST STE 410 1633 FILLMORE ST STE 410
DENVER CO
80206-1545
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-4559
  • Fax: 303-333-0057
Mailing address:
  • Phone: 303-333-4559
  • Fax: 303-333-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number30858
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number1659
License Number StateCO

VIII. Authorized Official

Name: DR. YECHIEL KLEEN
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 303-333-4559