Organization
HEADWATERS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE YEAGER DPT (PHYSICAL THERAPIST/OWNER)
(720) 812-3583
Entity
Organization
Contact information
Practice address
1 DELWOOD DR UNIT 640, BAILEY, CO 80421-2421
(720) 812-3583
Mailing address
802 SUMMER DR, HIGHLANDS RANCH, CO 80126-3092
(317) 407-0862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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