| Organization Name: | HEIGHTS PHYSICAL THERAPY LLC |
| NPI Number: | 1225392871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRENT MILES EZZELL (PRESIDENT/ CEO) |
| Mailing Address: | 718 N Main St Unit # 18 Gunnison |
| State: | CO US |
| Postal Code: | 812302412 |
| Phone Number: | 9706413298 |
| Fax Number: | 9706417369 |
| NPI Enumeration Date: | 06/28/2012 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 9752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |