# SHINE PT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558120618
- **Authorized official:** SUMMER A MAHLER PT, DPT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (720) 233-4801

## Contact information

- **Practice address:** 20532 E CALEY LN, CENTENNIAL, CO 80016-1292
- **Practice address phone:** (720) 233-4801
- **Mailing address:** 20532 E CALEY LN, CENTENNIAL, CO 80016-1292
- **Mailing address phone:** (720) 233-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 03/18/2024