MEDICARE: SPRINT PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1275776619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINT PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	8821 E HAMPDEN AVE
Second Line	:	SUITE 112
City	:	DENVER
State	:	CO
Zip	:	80231-4959
Country	:	US
Telephone Number	:	303-915-7054
Fax Number	:	720-747-8239

Provider Business Practice Location Address
First Line	:	8821 E HAMPDEN AVE
Second Line	:	SUITE 112
City	:	DENVER
State	:	CO
Zip	:	80231-4959
Country	:	US
Telephone Number	:	303-915-7054
Fax Number	:	720-747-8239

Authorized Official
Title or Position	:	SHAREHOLDER
Name	:	DR. TATYANA SHEYKHET
Credential	:	PT
Telephone Number	:	303-915-7054

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	04/15/2009

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Directions to “SPRINT PHYSICAL THERAPY INC ” Practice Location

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