# 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:** 1588919047
- **Legal business name:** BULOW BIOTECH PROSTHETICS, LLC
- **Authorized official:** BRAD GARDNER (VP OF FINANCE AND CLINIC OPS)
- **Authorized official phone:** (615) 550-8774

## Contact information

- **Practice address:** 1601 E 19TH AVE, SUITE 5200, DENVER, CO 80218-1216
- **Practice address phone:** (615) 550-8774
- **Mailing address:** 102 WOODMONT BLVD, SUITE 120, NASHVILLE, TN 37205-2287
- **Mailing address phone:** (615) 550-8774
- **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:** 07/19/2012
- **Last updated:** 11/06/2014