Healthcare Provider Details

I. General information

NPI: 1851424568
Provider Name (Legal Business Name): ALLIANCE PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4617 W. 20TH ST. STE A
GREELEY CO
80634
US

IV. Provider business mailing address

4617 W. 20TH ST. STE A
GREELEY CO
80634
US

V. Phone/Fax

Practice location:
  • Phone: 970-352-9022
  • Fax: 970-352-9048
Mailing address:
  • Phone: 970-352-9022
  • Fax: 970-352-9048

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 Number7483
License Number StateCO

VIII. Authorized Official

Name: MR. STEVE ALAN CUNNINGHAM
Title or Position: PRESIDENT
Credential: P.T.
Phone: 970-352-9022