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Organization
PHENIX THERAPIES, LLC
Active
Organization
PHENIX THERAPIES, LLC
Active
Other names
Colorado Institute Of Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LORNE MACDONALD DPT (OWNER)
(719) 344-9497
Entity
Organization
Contact information
Practice address
1625 MEDICAL CENTER PT STE 180, COLORADO SPRINGS, CO 80907-5798
(719) 344-9497
(719) 358-6042
Mailing address
1625 MEDICAL CENTER PT STE 180, COLORADO SPRINGS, CO 80907-5798
(719) 344-9497
(719) 358-6042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7832
CO
332B00000X
Durable Medical Equipment & Medical Supplies
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000171185
—
CO
Enumeration date
09/01/2015
Last updated
06/14/2023
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