Healthcare Provider Details

I. General information

NPI: 1275454688
Provider Name (Legal Business Name): PHENIX THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 3RD ST
MONUMENT CO
80132-8179
US

IV. Provider business mailing address

77 3RD ST
MONUMENT CO
80132-8179
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-9497
  • Fax: 719-358-6042
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHENTELL GUY
Title or Position: ADMIN
Credential:
Phone: 781-674-6129