Healthcare Provider Details

I. General information

NPI: 1508092321
Provider Name (Legal Business Name): MILE HIGH CLIMBERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7869 E 28TH PL
DENVER CO
80238-2435
US

IV. Provider business mailing address

7869 E 28TH PL
DENVER CO
80238-2435
US

V. Phone/Fax

Practice location:
  • Phone: 303-870-3057
  • Fax:
Mailing address:
  • Phone: 303-870-3057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number09126987
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number8384
License Number StateCO

VIII. Authorized Official

Name: ERIN KATHLEEN CHAIN
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 303-870-3057