Individual
MICHAEL JOSEPH PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30940 STAGECOACH BLVD STE 110, EVERGREEN, CO 80439-7984
(303) 674-1594
(303) 674-9870
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0020365
CO
Other
Enumeration date
08/14/2024
Last updated
11/03/2025
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