Organization
LEVY PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LEVY (OWNER)
(970) 927-3883
Entity
Organization
Contact information
Practice address
711 E VALLEY RD UNIT 202B, BASALT, CO 81621-8370
(970) 927-3883
(970) 927-3907
Mailing address
130 PTARMIGON CT, BASALT, CO 81621-8201
(970) 927-3883
(970) 927-3907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5873
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7041704
AETNA PIN #
CO
Enumeration date
10/12/2006
Last updated
04/10/2008
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