Provider Demographics
NPI:1700956661
Name:STIWICH, MICHAEL F (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:STIWICH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19195 E STANFORD DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2861
Mailing Address - Country:US
Mailing Address - Phone:720-422-1446
Mailing Address - Fax:
Practice Address - Street 1:2305 E ARAPAHOE RD STE 218
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1538
Practice Address - Country:US
Practice Address - Phone:720-422-1446
Practice Address - Fax:303-955-7946
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING174400000X
FLPT22983225100000X
COPTL.0018816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist