Provider Demographics
NPI:1700391323
Name:ENHANCED MOTION
Entity Type:Organization
Organization Name:ENHANCED MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KASPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-219-8146
Mailing Address - Street 1:6795 E TENNESSEE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1616
Mailing Address - Country:US
Mailing Address - Phone:720-219-8146
Mailing Address - Fax:
Practice Address - Street 1:6795 E TENNESSEE AVE STE100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224
Practice Address - Country:US
Practice Address - Phone:720-219-8146
Practice Address - Fax:720-219-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty