Provider Demographics
NPI:1235999228
Name:PELVICORE THERAPEUTICS, PLLC
Entity Type:Organization
Organization Name:PELVICORE THERAPEUTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:719-293-0025
Mailing Address - Street 1:13487 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7058
Mailing Address - Country:US
Mailing Address - Phone:719-293-0025
Mailing Address - Fax:
Practice Address - Street 1:13487 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7058
Practice Address - Country:US
Practice Address - Phone:719-293-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy