Provider Demographics
NPI:1609270404
Name:MCGIRK, JOSHUA LOREN (BCTMB, YA 500, C-IAY)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:LOREN
Last Name:MCGIRK
Suffix:
Gender:M
Credentials:BCTMB, YA 500, C-IAY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 S GALENA ST STE 150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5524
Mailing Address - Country:US
Mailing Address - Phone:720-935-9980
Mailing Address - Fax:
Practice Address - Street 1:3443 S GALENA ST STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5524
Practice Address - Country:US
Practice Address - Phone:720-935-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005487225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1609240404OtherNPI