Healthcare Provider Details

I. General information

NPI: 1336905363
Provider Name (Legal Business Name): BROOKE ELIZABETH BARTELS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUEBEC ST # 215
DENVER CO
80230-7144
US

IV. Provider business mailing address

1350 SPEER BLVD APT 656
DENVER CO
80204-2672
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-0369
  • Fax:
Mailing address:
  • Phone: 712-560-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPTL.0019668
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019668
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: