Provider Demographics
NPI:1255455416
Name:COLORADO INJURY CARE, LLC
Entity type:Organization
Organization Name:COLORADO INJURY CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-291-1938
Mailing Address - Street 1:993 TROY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6411
Mailing Address - Country:US
Mailing Address - Phone:720-291-1938
Mailing Address - Fax:720-216-0871
Practice Address - Street 1:6841 S YOSEMITE ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1434
Practice Address - Country:US
Practice Address - Phone:720-291-1938
Practice Address - Fax:720-216-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty