Provider Demographics
NPI:1902676638
Name:WINSLOW PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:WINSLOW PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:970-218-4391
Mailing Address - Street 1:103 DERBY HILL DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-7307
Mailing Address - Country:US
Mailing Address - Phone:970-218-4391
Mailing Address - Fax:
Practice Address - Street 1:103 DERBY HILL DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-7307
Practice Address - Country:US
Practice Address - Phone:970-218-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy