Provider Demographics
NPI:1346959715
Name:SPINEFIX THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:SPINEFIX THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-688-6955
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80201-0957
Mailing Address - Country:US
Mailing Address - Phone:720-639-6027
Mailing Address - Fax:303-484-1276
Practice Address - Street 1:4704 HARLAN ST STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7411
Practice Address - Country:US
Practice Address - Phone:303-331-6744
Practice Address - Fax:303-331-6839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty