Healthcare Provider Details
I. General information
NPI: 1568683431
Provider Name (Legal Business Name): THERAPIES OF COLORADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 S CHERRY ST SUITE 100
DENVER CO
80246-2699
US
IV. Provider business mailing address
6518 W WEAVER AVE
LITTLETON CO
80123-3868
US
V. Phone/Fax
- Phone: 303-394-0500
- Fax:
- Phone: 303-594-4934
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 918 |
| License Number State | CO |
VIII. Authorized Official
Name:
ROBERT
G
MATHEWSON
Title or Position: OWNER PRESIDENT
Credential: PT
Phone: 303-594-4934