Provider Demographics
NPI:1194734541
Name:HARKNESS, GARY M (MSPT)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:M
Last Name:HARKNESS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
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Mailing Address - Street 1:2000 S. COLORADO BLVD THE COLORADO CENTER TOWER ONE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:720-848-2000
Mailing Address - Fax:720-848-8209
Practice Address - Street 1:2000 S. COLORADO BLVD THE COLORADO CENTER TOWER ONE
Practice Address - Street 2:SUITE 1000
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:720-848-2000
Practice Address - Fax:720-848-8209
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA5167225100000X
CO51672251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
102255330OtherOWCP FACITLITY ID