Provider Demographics
NPI:1043725740
Name:CATALYST ATHLETIC PERFORMANCE, LLC
Entity Type:Organization
Organization Name:CATALYST ATHLETIC PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-635-6969
Mailing Address - Street 1:520 CHEROKEE ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-5149
Mailing Address - Country:US
Mailing Address - Phone:720-635-6969
Mailing Address - Fax:303-223-9286
Practice Address - Street 1:520 CHEROKEE ST UNIT C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-5149
Practice Address - Country:US
Practice Address - Phone:720-635-6969
Practice Address - Fax:303-223-9286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty