Provider Demographics
NPI:1437394814
Name:STARTING POINT REHABILITATION
Entity Type:Organization
Organization Name:STARTING POINT REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:303-907-9211
Mailing Address - Street 1:8745 W 14TH AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4889
Mailing Address - Country:US
Mailing Address - Phone:303-907-9211
Mailing Address - Fax:303-233-0984
Practice Address - Street 1:8745 W 14TH AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4889
Practice Address - Country:US
Practice Address - Phone:303-907-9211
Practice Address - Fax:303-233-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAA051243261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation