Healthcare Provider Details

I. General information

NPI: 1114212966
Provider Name (Legal Business Name): THERAPY FOR INDEPENDENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 06/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7390 W EASTMAN PL
LAKEWOOD CO
80227-5039
US

IV. Provider business mailing address

7390 W EASTMAN PL
LAKEWOOD CO
80227-5039
US

V. Phone/Fax

Practice location:
  • Phone: 303-988-2848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KIM PHELPS
Title or Position: OWNER
Credential: PT
Phone: 303-790-1910