PRODYNAMICS SPORTS & THERAPEUTIC MASSAGE NPI 1578953634

NPI Information

NPI: 1578953634
Provider Name: PRODYNAMICS SPORTS & THERAPEUTIC MASSAGE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
6180 S GUN CLUB RD UNIT L4
AURORA, CO
ZIP 80016
Phone: (303) 332-1903
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PRODYNAMICS SPORTS & THERAPEUTIC MASSAGE is a pain clinic center in Aurora, CO. PRODYNAMICS SPORTS & THERAPEUTIC MASSAGE NPI is 1578953634. The provider is registered as an organization entity type.

The provider's business location address is:

6180 S GUN CLUB RD UNIT L4
AURORA, CO
ZIP 80016-310
Phone: (303) 332-1903

The provider's authorized official is Jeffrey Poncar .
The authorized official title is Massage Therapist and has the following contact phone number (303) 332-1903.

The enumeration date for this NPI number is 1/28/2015 and was last updated on 1/28/2015.

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
1	261QP3300X	Clinic/Center	Pain	MT.0003476	COLORADO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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