Healthcare Provider Details

I. General information

NPI: 1275793234
Provider Name (Legal Business Name): MR. DAVID CURTIS CANADAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 E ILIFF AVE
DENVER CO
80222-5721
US

IV. Provider business mailing address

4960 FENTON ST
DENVER CO
80212-2723
US

V. Phone/Fax

Practice location:
  • Phone: 303-759-4221
  • Fax:
Mailing address:
  • Phone: 303-455-2961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: