Healthcare Provider Details

I. General information

NPI: 1952417974
Provider Name (Legal Business Name): SKYLAR ORTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 STEELE ST
DENVER CO
80206-4479
US

IV. Provider business mailing address

842 JACKSON ST
DENVER CO
80206-4048
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-2670
  • Fax:
Mailing address:
  • Phone: 803-665-4641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7591
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9579
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: