Provider Demographics
NPI:1083814735
Name:INTEGRATED THERAPY CENTER P.C.
Entity Type:Organization
Organization Name:INTEGRATED THERAPY CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-649-2165
Mailing Address - Street 1:8600 PARK MEADOWS DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124
Mailing Address - Country:US
Mailing Address - Phone:303-649-2165
Mailing Address - Fax:
Practice Address - Street 1:8600 PARK MEADOWS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2756
Practice Address - Country:US
Practice Address - Phone:303-649-2165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3082261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy