Healthcare Provider Details
I. General information
NPI: 1932063120
Provider Name (Legal Business Name): AQUA DYNAMICS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 W HORSETOOTH RD SUITE #103
FORT COLLINS CO
80526
US
IV. Provider business mailing address
320 W 37TH STREET SUITE #336
LOVELAND CO
80538
US
V. Phone/Fax
- Phone: 970-449-0832
- Fax: 970-372-2772
- Phone: 970-449-9536
- Fax: 970-372-2772
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
KRISTINE
RANTANEN
Title or Position: OWNER/PT
Credential: DPT
Phone: 970-449-0832