Provider Demographics
NPI:1457759169
Name:FRONT RANGE THERAPY SYSTEMS
Entity type:Organization
Organization Name:FRONT RANGE THERAPY SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/DIRECTOR OF THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:RARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-290-2075
Mailing Address - Street 1:802 W DRAKE RD STE 145
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:802 W DRAKE RD STE 133
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5567
Practice Address - Country:US
Practice Address - Phone:970-494-6449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty