Healthcare Provider Details

I. General information

NPI: 1689864902
Provider Name (Legal Business Name): DAVID JAMES MEAD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S COLORADO BLVD SUITE 640
DENVER CO
80246-1253
US

IV. Provider business mailing address

1009 E 131ST DR
THORNTON CO
80241-1113
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-4450
  • Fax: 303-320-6668
Mailing address:
  • Phone: 720-841-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9654
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: