Provider Demographics
NPI:1821299785
Name:WELLNESS QUEST PHYSICAL THERAPY & MASSAGE, INC
Entity Type:Organization
Organization Name:WELLNESS QUEST PHYSICAL THERAPY & MASSAGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:AMSTUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPT, CMT
Authorized Official - Phone:303-668-4364
Mailing Address - Street 1:5709 OLDE WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2534
Mailing Address - Country:US
Mailing Address - Phone:303-668-4364
Mailing Address - Fax:303-422-2201
Practice Address - Street 1:5709 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2534
Practice Address - Country:US
Practice Address - Phone:303-668-4364
Practice Address - Fax:303-422-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2006261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy