Healthcare Provider Details

I. General information

NPI: 1609037043
Provider Name (Legal Business Name): PROAXIS DENVER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 18TH ST SUITE 250
DENVER CO
80202-2499
US

IV. Provider business mailing address

999 18TH ST SUITE 250
DENVER CO
80202-2499
US

V. Phone/Fax

Practice location:
  • Phone: 303-295-1403
  • Fax: 303-297-3021
Mailing address:
  • Phone: 303-295-1403
  • Fax: 303-297-3021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE STALZER
Title or Position: REGIONAL PRESIDENT
Credential: MSPT
Phone: 970-471-4582