Healthcare Provider Details

I. General information

NPI: 1194734541
Provider Name (Legal Business Name): GARY M. HARKNESS M.S.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S. COLORADO BLVD THE COLORADO CENTER TOWER ONE SUITE 1000
DENVER CO
80222
US

IV. Provider business mailing address

2000 S. COLORADO BLVD THE COLORADO CENTER TOWER ONE SUITE 1000
DENVER CO
80222
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-2000
  • Fax: 720-848-8209
Mailing address:
  • Phone: 720-848-2000
  • Fax: 720-848-8209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5167
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5167
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: