Provider Demographics
NPI:1851590889
Name:HEALING HANDS PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HEALING HANDS PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER , THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:303-432-2112
Mailing Address - Street 1:3180 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80215-6534
Mailing Address - Country:US
Mailing Address - Phone:303-432-2112
Mailing Address - Fax:303-432-2844
Practice Address - Street 1:5400 WARD ROAD
Practice Address - Street 2:BLDG 1 #100
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1820
Practice Address - Country:US
Practice Address - Phone:303-432-2112
Practice Address - Fax:303-432-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6080261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO80158277Medicaid
CO80158277Medicaid