Healthcare Provider Details

I. General information

NPI: 1447972765
Provider Name (Legal Business Name): MCCALLUM PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15179 W HARVARD CIR
LAKEWOOD CO
80228-5534
US

IV. Provider business mailing address

15179 W HARVARD CIR
LAKEWOOD CO
80228-5534
US

V. Phone/Fax

Practice location:
  • Phone: 303-868-8660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE ANN MCCALLUM
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: DPT
Phone: 303-868-8660