Healthcare Provider Details

I. General information

NPI: 1902676638
Provider Name (Legal Business Name): WINSLOW PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 DERBY HILL DR
LOVELAND CO
80537-7307
US

IV. Provider business mailing address

103 DERBY HILL DR
LOVELAND CO
80537-7307
US

V. Phone/Fax

Practice location:
  • Phone: 970-218-4391
  • Fax:
Mailing address:
  • Phone: 970-218-4391
  • 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: JASON ROSS WINSLOW
Title or Position: OWNER
Credential: DPT
Phone: 970-218-4391