Provider Demographics
NPI:1700547163
Name:BETWEEN THE LINES PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BETWEEN THE LINES PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:907-616-0252
Mailing Address - Street 1:6920 S JORDAN RD STE K
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4248
Mailing Address - Country:US
Mailing Address - Phone:720-469-0090
Mailing Address - Fax:
Practice Address - Street 1:6920 S JORDAN RD STE K
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4248
Practice Address - Country:US
Practice Address - Phone:720-469-0090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy