COLORADO BACK INSTITUTE NPI 1679923718

NPI Information

  • NPI: 1679923718
  • Provider Name: COLORADO BACK INSTITUTE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • :
  • Address: 10535 PARK MEADOWS BLVD STE 150
    LONE TREE, CO
    ZIP 80124
  • Phone: (303) 594-2686

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NPI Details

COLORADO BACK INSTITUTE is a specialist in Lone Tree, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLORADO BACK INSTITUTE NPI is 1679923718. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

10535 PARK MEADOWS BLVD STE 150
LONE TREE, CO
ZIP 80124-401
Phone: (303) 594-2686
Fax: (855) 620-8714

The provider's authorized official is Brent Young Kimball .
The authorized official title is Owner and has the following contact phone number (303) 594-2686.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes
2261QM2500XClinic/CenterMedical SpecialtyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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