Provider Demographics
NPI:1083661292
Name:ASPEN MANUAL THERAPIES AND REHABILITATION PC
Entity type:Organization
Organization Name:ASPEN MANUAL THERAPIES AND REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:GARLAND
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:970-618-5559
Mailing Address - Street 1:PO BOX 2086
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81612-2086
Mailing Address - Country:US
Mailing Address - Phone:970-618-5559
Mailing Address - Fax:970-925-1222
Practice Address - Street 1:880 MEADOWS RD
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1150
Practice Address - Country:US
Practice Address - Phone:970-618-5559
Practice Address - Fax:970-925-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty