Evergreen Sport & Spine Physical Therapy PC

Organization Active NPI Physical Therapist · Conifer, CO

NPI 1346208659 · NPPES record last updated Apr 18, 2018

Key facts

NPI
1346208659
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC
Practice address
26719 Pleasant Park Rd Unit 220
Conifer, CO 80433-7756
Phone
(303) 838-1970
Fax
(303) 838-2433
NPI assigned
May 3, 2006
Organization subpart
No

Authorized official

Name
Paul Petitt
Title
Practice Manager
Phone
(303) 670-4802

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

26719 Pleasant Park Rd
Unit 220
Conifer, CO 80433
Phone (303) 838-1970

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

26719 Pleasant Park Rd Unit 220
Conifer, CO 80433-7756

Mailing address

26719 Pleasant Park Rd Unit 220
Conifer, CO 80433-7756
Phone (303) 838-1970

Other providers in Conifer, CO

All providers in Conifer, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.