Provider Demographics
NPI:1609037043
Name:PROAXIS DENVER, LLC
Entity Type:Organization
Organization Name:PROAXIS DENVER, LLC
Other - Org Name:PROAXIS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STALZER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:970-471-4582
Mailing Address - Street 1:999 18TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2499
Mailing Address - Country:US
Mailing Address - Phone:303-295-1403
Mailing Address - Fax:303-297-3021
Practice Address - Street 1:999 18TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2499
Practice Address - Country:US
Practice Address - Phone:303-295-1403
Practice Address - Fax:303-297-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherEIN