Elite Therapy And Wellness Center, Inc.

LBN: Elite Therapy And Wellness Center, Inc.
Elite Therapy And Wellness Center, Inc. is an health care organization with primary practice located at 3715 Thatcher Ave , Pueblo CO 81005-1255. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Elite Therapy And Wellness Center, Inc. can be contacted via phone (719) 470-2281, or through Weldon, Tammy Ann via phone (719) 543-2700.

Contact Information

Primary practice address
3715 Thatcher Ave Pueblo CO 81005-1255
Fax: (719) 301-7218
Website:
Authorized official contact:
Name: Weldon, Tammy Ann Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1508229782
LBN Legal business name Elite Therapy And Wellness Center, Inc.
DBA Doing business as
Authorized official Weldon, Tammy Ann Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2016
Last updated Mar 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508229782 NPPES
Colorado MEDICAID 9000197949

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