Healthcare Provider Details

I. General information

NPI: 1972915288
Provider Name (Legal Business Name): THERAPYDIA COLORADO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 03/31/2024
Certification Date: 03/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 N GRANT ST
DENVER CO
80203-2710
US

IV. Provider business mailing address

1650 N GRANT ST
DENVER CO
80203-1602
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-1540
  • Fax: 303-482-1545
Mailing address:
  • Phone: 303-482-1540
  • Fax: 303-482-1545

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: MARCO MEYER
Title or Position: CEO
Credential:
Phone: 213-328-3332