Provider Demographics
NPI:1659566594
Name:GREENWOOD PHYSICAL THERAPY&ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:GREENWOOD PHYSICAL THERAPY&ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PWNER PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HYO
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:303-770-4170
Mailing Address - Street 1:8775 E ORCHARD RD
Mailing Address - Street 2:SUITE 810
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-770-4170
Mailing Address - Fax:303-770-4184
Practice Address - Street 1:8775 E ORCHARD RD
Practice Address - Street 2:SUITE 810
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-770-4170
Practice Address - Fax:303-770-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CO7946261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty