Healthcare Provider Details

I. General information

NPI: 1922202498
Provider Name (Legal Business Name): PAULA M. ASHBAUGH, MPT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 S BELLAIRE ST SUITE 235
DENVER CO
80222-4305
US

IV. Provider business mailing address

1805 S BELLAIRE ST SUITE 235
DENVER CO
80222-4305
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-3388
  • Fax:
Mailing address:
  • Phone: 303-756-3388
  • Fax:

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: JASON RYAN LUND
Title or Position: OWNER/PRESIDENT
Credential: MSPT
Phone: 303-756-3388