Provider Demographics
NPI:1508092321
Name:MILE HIGH CLIMBERS LLC
Entity Type:Organization
Organization Name:MILE HIGH CLIMBERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:CHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:303-870-3057
Mailing Address - Street 1:7869 E 28TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2435
Mailing Address - Country:US
Mailing Address - Phone:303-870-3057
Mailing Address - Fax:
Practice Address - Street 1:7869 E 28TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2435
Practice Address - Country:US
Practice Address - Phone:303-870-3057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83842251P0200X
CO09126987235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty