Healthcare Provider Details

I. General information

NPI: 1194631127
Provider Name (Legal Business Name): TERRELL GREGORY HORTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

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

4545 E 9TH AVE STE 10
DENVER CO
80220-3907
US

IV. Provider business mailing address

4545 E 9TH AVE STE 10
DENVER CO
80220-3907
US

V. Phone/Fax

Practice location:
  • Phone: 303-253-7373
  • Fax:
Mailing address:
  • Phone: 303-253-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021489
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: