Provider Demographics
NPI:1518671171
Name:EMPOWER PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:EMPOWER PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TREVI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:520-981-9878
Mailing Address - Street 1:801 S CHERRY ST APT 181
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2685
Mailing Address - Country:US
Mailing Address - Phone:520-981-9878
Mailing Address - Fax:
Practice Address - Street 1:5002 E HAMPDEN AVE UNIT B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7383
Practice Address - Country:US
Practice Address - Phone:520-441-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty