Organization
HEIGHTS PHYSICAL THERAPY LLC
Active
Other names
Heights Performance and Rehabilitation Specialists LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT MILES EZZELL PT (PRESIDENT/ CEO)
(970) 901-9315
Entity
Organization
Contact information
Practice address
700 N MAIN ST UNIT B, GUNNISON, CO 81230-2423
(970) 641-3298
(970) 641-7369
Mailing address
700 N MAIN ST UNIT B, GUNNISON, CO 81230-2423
(970) 641-3298
(970) 641-7369
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9752
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01125044
—
CO
Enumeration date
06/28/2012
Last updated
10/06/2021
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