Healthcare Provider Details

I. General information

NPI: 1316021538
Provider Name (Legal Business Name): KAIROS LLC DBA PAONIA PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/19/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ONARGA AVE
PAONIA CO
81428-5068
US

IV. Provider business mailing address

PO BOX 1761
PAONIA CO
81428-1761
US

V. Phone/Fax

Practice location:
  • Phone: 970-527-8967
  • Fax: 970-527-3213
Mailing address:
  • Phone: 970-527-8967
  • Fax: 970-527-3213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3724
License Number StateCO

VIII. Authorized Official

Name: DR. STEPHEN ARMSTRONG LEIGHTON
Title or Position: OWNER PARTNER
Credential: P.T.
Phone: 970-527-8967