Provider Demographics
NPI:1790259349
Name:COLAVRIA THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:COLAVRIA THERAPY SERVICES, INC.
Other - Org Name:COLAVRIA THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-421-3600
Mailing Address - Street 1:1127 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1506
Mailing Address - Country:US
Mailing Address - Phone:303-321-3600
Mailing Address - Fax:303-388-1171
Practice Address - Street 1:1655 EATON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-1628
Practice Address - Country:US
Practice Address - Phone:303-238-5363
Practice Address - Fax:303-388-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)