Healthcare Provider Details

I. General information

NPI: 1316747843
Provider Name (Legal Business Name): POWER HEALTH COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 LUTHERAN PKWY STE 180
WHEAT RIDGE CO
80033-6000
US

IV. Provider business mailing address

6400 S FIDDLERS GREEN CIR STE 840
GREENWOOD VILLAGE CO
80111-4994
US

V. Phone/Fax

Practice location:
  • Phone: 720-451-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW SANDS
Title or Position: MEMBER
Credential: DC
Phone: 786-525-2599