Healthcare Provider Details

I. General information

NPI: 1669009148
Provider Name (Legal Business Name): BRYCE ZAFFARANO PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD STE 1000
DENVER CO
80222-7939
US

IV. Provider business mailing address

2000 S COLORADO BLVD STE 1000
DENVER CO
80222-7939
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0014488
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: