Healthcare Provider Details

I. General information

NPI: 1801984034
Provider Name (Legal Business Name): KATHERINE ELIZABETH ELWOOD MSPT, DPT, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 5TH AVE SUITE 180
DENVER CO
80203-3436
US

IV. Provider business mailing address

4950 S YOSEMITE ST F2 #213
GREENWOOD VILLAGE CO
80111-1349
US

V. Phone/Fax

Practice location:
  • Phone: 303-893-0047
  • Fax: 720-570-7996
Mailing address:
  • Phone: 720-244-1690
  • Fax: 720-570-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number8402
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8402
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: