Healthcare Provider Details

I. General information

NPI: 1003722737
Provider Name (Legal Business Name): LEIGH POLACO JAMES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 E HAMPDEN AVE STE 303
ENGLEWOOD CO
80113-2762
US

IV. Provider business mailing address

799 E HAMPDEN AVE STE 303
ENGLEWOOD CO
80113-2762
US

V. Phone/Fax

Practice location:
  • Phone: 720-328-5055
  • Fax: 720-387-8149
Mailing address:
  • Phone: 720-328-5055
  • Fax: 720-387-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number21496
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: