Provider Demographics
NPI:1114486545
Name:ARISE ANEW THERAPY LLC
Entity Type:Organization
Organization Name:ARISE ANEW THERAPY LLC
Other - Org Name:ARISE ANEW THERAPY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SILBERNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-330-4576
Mailing Address - Street 1:1728 AZALEA DR APT 3
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5739
Mailing Address - Country:US
Mailing Address - Phone:303-330-4576
Mailing Address - Fax:970-632-2994
Practice Address - Street 1:1728 AZALEA DR APT 3
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5739
Practice Address - Country:US
Practice Address - Phone:303-330-4576
Practice Address - Fax:970-632-2994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center