Provider Demographics
NPI:1720664782
Name:PHYSIO YOGA AND WELLNESS PC
Entity Type:Organization
Organization Name:PHYSIO YOGA AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-801-8852
Mailing Address - Street 1:1554 VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1322
Mailing Address - Country:US
Mailing Address - Phone:303-801-8852
Mailing Address - Fax:
Practice Address - Street 1:1554 VINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1322
Practice Address - Country:US
Practice Address - Phone:303-801-8852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty