| Organization Name: | HEALTHTECH THERAPY & SPORTS PERFORMANCE INC. |
| NPI Number: | 1265642243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUSTIN RYAN WILLIS (OWNER) |
| Mailing Address: | 405 W 115th Ave Unit 1 Northglenn |
| State: | CO US |
| Postal Code: | 802343097 |
| Phone Number: | 7209779393 |
| Fax Number: | 7209779363 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5490 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |