Organization
THE CENTER FOR PHYSICAL WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY ANN TUCKWELL MPT (OWNER)
(303) 300-6842
Entity
Organization
Contact information
Practice address
1776 S JACKSON ST, SUITE 820, DENVER, CO 80210-3801
(303) 300-6842
(303) 758-1260
Mailing address
1776 S JACKSON ST STE 820, DENVER, CO 80210-3807
(303) 300-6842
(303) 758-1260
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682822
UNITED HEALTHCARE
CO
01
—
CE660227
BC/BS
CO
Enumeration date
11/02/2006
Last updated
08/22/2020
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