Provider Demographics
NPI:1295194876
Name:RACHAEL BRITTON, LLC
Entity Type:Organization
Organization Name:RACHAEL BRITTON, LLC
Other - Org Name:PHYSICAL THERAPY EVOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:303-536-1949
Mailing Address - Street 1:4340 E KENTUCKY AVE
Mailing Address - Street 2:SUITE 147
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2060
Mailing Address - Country:US
Mailing Address - Phone:303-536-1949
Mailing Address - Fax:303-536-1912
Practice Address - Street 1:4340 E KENTUCKY AVE
Practice Address - Street 2:SUITE 147
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-2060
Practice Address - Country:US
Practice Address - Phone:303-536-1949
Practice Address - Fax:303-536-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10682225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty