Provider Demographics
NPI:1306091749
Name:A MATTER OF THE HEART PHYSICAL THERAPY
Entity type:Organization
Organization Name:A MATTER OF THE HEART PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYAKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUM
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:303-552-0600
Mailing Address - Street 1:1427 ROSEMARY DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3595
Mailing Address - Country:US
Mailing Address - Phone:303-552-0600
Mailing Address - Fax:303-955-2957
Practice Address - Street 1:1427 ROSEMARY DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3595
Practice Address - Country:US
Practice Address - Phone:303-552-0600
Practice Address - Fax:303-955-2957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14876261QP2000X
CO9236261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy