Provider Demographics
NPI:1972830016
Name:PROMISE RANCH THERAPEUTIC RIDING
Entity Type:Organization
Organization Name:PROMISE RANCH THERAPEUTIC RIDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FLO
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-635-2444
Mailing Address - Street 1:P.O. BOX 545
Mailing Address - Street 2:
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116
Mailing Address - Country:US
Mailing Address - Phone:720-635-2444
Mailing Address - Fax:303-699-8517
Practice Address - Street 1:873 LAKE GULCH RD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-9746
Practice Address - Country:US
Practice Address - Phone:303-817-6531
Practice Address - Fax:303-699-8517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty