Provider Demographics
NPI:1013061407
Name:COLORADO HEALTHQUEST LLC
Entity type:Organization
Organization Name:COLORADO HEALTHQUEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:RIMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-402-9088
Mailing Address - Street 1:842 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2842
Mailing Address - Country:US
Mailing Address - Phone:303-402-9088
Mailing Address - Fax:303-402-9092
Practice Address - Street 1:842 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2842
Practice Address - Country:US
Practice Address - Phone:303-402-9088
Practice Address - Fax:303-402-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC24593Medicare ID - Type Unspecified