Organization
CENTURA VENTURES, LLC
Active
Other names
Centura Physical Therapy at Audubon, Colorado Sport and Spine Centers, CommonSpirit Physical Therapy Audubon, CS CSSC AT CIRCLE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA CARPENTER RN (VP, AMBULATORY SERVICES)
(303) 765-6998
Entity
Organization
Contact information
Practice address
3010 N CIRCLE DR STE 120, COLORADO SPRINGS, CO 80909-1182
(719) 776-4888
(719) 776-4860
Mailing address
PO BOX 801172, KANSAS CITY, MO 64180-1172
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073882197
OLD NPI
—
05
—
59727748
—
CO
Enumeration date
02/06/2020
Last updated
11/12/2024
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