Organization
PHYSICAL THERAPY AND LIFETIME WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TAYLOR WALLEY PT, DPT, OCS, CSCS (PHYSICAL THERAPIST, OWNER)
(303) 578-2490
Entity
Organization
Contact information
Practice address
701 S LOGAN ST, SUITE 104, DENVER, CO 80209-4199
(800) 615-7550
(800) 797-7110
Mailing address
PO BOX 61041, DENVER, CO 80206-1041
(800) 615-7550
(800) 797-7110
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10315
CO
Other
Enumeration date
11/02/2013
Last updated
11/07/2013
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