Organization
INNOVATIVE THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MARK MITTLEIDER PT (PRESIDENT)
(303) 663-1259
Entity
Organization
Contact information
Practice address
900 S 12TH ST, ROCKY FORD, CO 81067-2128
(719) 254-4202
(719) 254-4202
Mailing address
497 GREY SQUIRREL WAY, FRANKTOWN, CO 80116-8766
(303) 663-1259
(303) 688-5896
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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