Healthcare Provider Details

I. General information

NPI: 1417706649
Provider Name (Legal Business Name): GOLDEN PT & PILATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 8TH ST
GOLDEN CO
80401-1007
US

IV. Provider business mailing address

1014 8TH ST
GOLDEN CO
80401-1007
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-2237
  • Fax:
Mailing address:
  • Phone: 303-993-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARRIE ANN LAMB
Title or Position: OWNER
Credential:
Phone: 303-993-2237