Provider Demographics
NPI:1033935457
Name:SPRINGS NEURO & BALANCE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:SPRINGS NEURO & BALANCE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, NCS
Authorized Official - Phone:908-566-5072
Mailing Address - Street 1:3 BROADMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3641
Mailing Address - Country:US
Mailing Address - Phone:908-566-5072
Mailing Address - Fax:
Practice Address - Street 1:525 E FOUNTAIN BLVD STE 150
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4465
Practice Address - Country:US
Practice Address - Phone:908-566-5072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty