Provider Demographics
NPI:1124372917
Name:ALTMED OF COLORADO, PLLC
Entity Type:Organization
Organization Name:ALTMED OF COLORADO, PLLC
Other - Org Name:ALTERNATIVE PHYSICAL MEDICINE OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TREDE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-980-5699
Mailing Address - Street 1:2980 N BEVERLY GLEN CIR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1726
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:3500 S WADSWORTH BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2019
Practice Address - Country:US
Practice Address - Phone:303-980-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTMED OF COLORADO, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site