Healthcare Provider Details

I. General information

NPI: 1518723386
Provider Name (Legal Business Name): ALEXANDRIA ELIZABETH LEWIS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3448 BRIGHTON BLVD
DENVER CO
80216-5023
US

IV. Provider business mailing address

3996 RED CEDAR DR UNIT A6
HIGHLANDS RANCH CO
80126-8066
US

V. Phone/Fax

Practice location:
  • Phone: 303-800-2829
  • Fax: 720-408-0320
Mailing address:
  • Phone: 303-800-2829
  • Fax: 720-408-0321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0019644
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: