Healthcare Provider Details

I. General information

NPI: 1508473117
Provider Name (Legal Business Name): MAKENZIE LEE SKRABAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5589 ARGONNE ST
DENVER CO
80249-8989
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 720-516-8807
  • Fax: 720-516-8800
Mailing address:
  • Phone: 970-624-1103
  • Fax: 970-490-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number28125
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0020867
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: