Organization
HOLISTIC PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELISE LANE PT (OWNER)
(303) 993-9767
Entity
Organization
Contact information
Practice address
6650 W 44TH AVE STE 1, WHEAT RIDGE, CO 80033-4711
(303) 993-9767
Mailing address
6650 W 44TH AVE STE 1, WHEAT RIDGE, CO 80033-4711
(303) 993-9767
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTL0008000
CO
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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