Provider Demographics
NPI:1265855589
Name:SHALOM THERAPIES
Entity Type:Organization
Organization Name:SHALOM THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STENERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-680-5000
Mailing Address - Street 1:14800 E BELLEVIEW DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2258
Mailing Address - Country:US
Mailing Address - Phone:303-400-2220
Mailing Address - Fax:303-690-1946
Practice Address - Street 1:14800 E BELLEVIEW DR
Practice Address - Street 2:SUITE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2258
Practice Address - Country:US
Practice Address - Phone:303-400-2220
Practice Address - Fax:303-690-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation