# THORACIC PARK HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integral Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275423972
- **Authorized official:** CHRISTOPHER EDMUNDSON (VICE PRESIDENT)
- **Authorized official phone:** (720) 600-0370

## Contact information

- **Practice address:** 1000 S WADSWORTH BLVD UNIT B, LAKEWOOD, CO 80226-4314
- **Practice address phone:** (720) 600-0370
- **Mailing address:** 11169 E I25 FRONTAGE RD STE C, FIRESTONE, CO 80504-5211
- **Mailing address phone:** (720) 600-0370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025