Healthcare Provider Details

I. General information

NPI: 1144136193
Provider Name (Legal Business Name): LUKE WULFF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 N GRANT ST
DENVER CO
80203-1602
US

IV. Provider business mailing address

1245 COLUMBINE ST
DENVER CO
80206-3117
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-1540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP061281T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: