Healthcare Provider Details

I. General information

NPI: 1528137734
Provider Name (Legal Business Name): SOUTH VALLEY PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 UINTA WAY STE 100
DENVER CO
80230-7198
US

IV. Provider business mailing address

495 UINTA WAY STE 100
DENVER CO
80230-7198
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-0057
  • Fax: 303-831-0152
Mailing address:
  • Phone: 303-861-0057
  • Fax: 303-831-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH BOSLEY GALLAGHER
Title or Position: PRESIDENT
Credential:
Phone: 303-909-5326