Cle Physical Therapy, PLLC
Physical Therapist in Edwards, CO. Organization (NPI-2).
NPI number1164087169
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1164087169
- Entity type
- Organization (NPI-2)
- Legal business name
- Cle Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- May 6, 2019
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- Equilibrium Physical Therapy (Doing Business As)
Practice location
56 Edwards Village Blvd Unit 204Edwards, CO 81632-7804
Phone 404-593-5104
Mailing address
Po Box 3295Avon, CO 81620-3295
Phone 404-593-5104 · Fax 970-965-0633
Other practice locations
2485 Old Trail Road B
Avon, CO 81620-3295
Avon, CO 81620-3295
Phone 404-593-5104
Authorized official
Carrie Lee Eckenhoff
Owner
4045935104
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