# BULOW PROVIDER NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BULOW BIOTECH PROSTHETICS, LLC
- **Other names:** Colorado Rehabilitation Consultants
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548697154
- **Legal business name:** BULOW BIOTECH PROSTHETICS, LLC
- **Authorized official:** JESSICA BYRD (VP OF CLINIC OPERATIONS)
- **Authorized official phone:** (615) 864-8788

## Contact information

- **Practice address:** 499 E HAMPDEN AVE, SUITE 140, ENGLEWOOD, CO 80113-2780
- **Practice address phone:** (303) 831-6162
- **Practice address fax:** (303) 831-6295
- **Mailing address:** 102 WOODMONT AVE., SUITE 120, NASHVILLE, TN 37205-2287
- **Mailing address phone:** (615) 864-8788
- **Mailing address fax:** (615) 454-5352

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2013
- **Last updated:** 12/30/2013