Provider Demographics
NPI:1033942255
Name:PT COACH PLLC
Entity type:Organization
Organization Name:PT COACH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-427-4072
Mailing Address - Street 1:1360 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4773
Mailing Address - Country:US
Mailing Address - Phone:786-251-7786
Mailing Address - Fax:855-595-2510
Practice Address - Street 1:4895 W 10TH ST UNIT A
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2049
Practice Address - Country:US
Practice Address - Phone:970-427-4072
Practice Address - Fax:855-595-2510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty