Healthcare Provider Details

I. General information

NPI: 1710185830
Provider Name (Legal Business Name): PHYSIO PRO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 EAST FLORIDA AVE SUITE 330
DENVER CO
80210
US

IV. Provider business mailing address

3801 E FLORIDA AVE STE 330
DENVER CO
80210-2546
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-2670
  • Fax: 303-370-2696
Mailing address:
  • Phone: 303-370-2670
  • Fax: 303-370-2696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberNOT REQUIRED
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALDO PRINS
Title or Position: CO-OWNER
Credential: PT
Phone: 303-370-2670