Healthcare Provider Details

I. General information

NPI: 1760709216
Provider Name (Legal Business Name): BECKY WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 S GALENA ST
DENVER CO
80231-5079
US

IV. Provider business mailing address

2940 S ROSEMARY ST
DENVER CO
80231-4185
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-2995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: