Organization
LODO PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL KOFFLER MSPT (OWNER/PHYSICAL THERAPIST)
(303) 912-9220
Entity
Organization
Contact information
Practice address
1401 17TH ST, SUITE 475, DENVER, CO 80202-1268
(303) 913-6516
(303) 412-0645
Mailing address
1401 17TH ST, SUITE 475, DENVER, CO 80202-1268
(303) 913-6516
(303) 412-0645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7838
CO
2251E1200X
Ergonomics Physical Therapist
7838
CO
2251S0007X
Sports Physical Therapist
7838
CO
2251X0800X
Orthopedic Physical Therapist
Primary
7838
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11604678
CAQH PROVIDER #
—
01
—
1639128374
NPI
—
Enumeration date
09/26/2011
Last updated
03/14/2019
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