Organization
REVELLE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY WARNER PT, DPT (OWNER)
(703) 969-8226
Entity
Organization
Contact information
Practice address
7400 E ORCHARD RD STE 208S, GREENWOOD VILLAGE, CO 80111-2575
(303) 323-9998
(833) 770-4966
Mailing address
7400 E ORCHARD RD # 280S, GREENWOOD VILLAGE, CO 80111-2528
(303) 323-9998
(833) 770-4966
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356659627
NPI
—
01
—
1568611986
NPI
—
01
—
1588059380
NPI
GA
Enumeration date
09/12/2022
Last updated
09/12/2022
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