Healthcare Provider Details

I. General information

NPI: 1497665491
Provider Name (Legal Business Name): CONARD HARRISON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9224 TEDDY LN STE 201
LONE TREE CO
80124-6799
US

IV. Provider business mailing address

11169 E I25 FRONTAGE RD STE C
FIRESTONE CO
80504-5211
US

V. Phone/Fax

Practice location:
  • Phone: 720-600-0370
  • Fax: 720-600-0374
Mailing address:
  • Phone: 720-600-0370
  • Fax: 720-600-0374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTLP.0000463
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: