Healthcare Provider Details

I. General information

NPI: 1467859926
Provider Name (Legal Business Name): JESSICA CARDI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2014
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUEBEC ST STE 215
DENVER CO
80230-7144
US

IV. Provider business mailing address

660 BANNOCK ST
DENVER CO
80204-4506
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-0369
  • Fax:
Mailing address:
  • Phone: 303-602-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: