Organization
FARM TO TREATMENT TABLE, INC
Active
Other names
Farm to Treatment Table, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY KELLOGG MS PT (OWNER/PRESIDENT)
(303) 931-6478
Entity
Organization
Contact information
Practice address
5354 W 25TH AVE, EDGEWATER, CO 80214-1244
(303) 931-6478
Mailing address
5354 W 25TH AVE, EDGEWATER, CO 80214-1244
(303) 931-6478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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