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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUBEN OMAR BANUELOS ENRIQUEZ, DPT

Active Sole Proprietor

DR. RUBEN OMAR BANUELOS ENRIQUEZ, DPT is a Physical Therapy Assistant healthcare provider located in GREENWOOD VILLAGE, Colorado. NPI 1366943359 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GREENWOOD VILLAGE, CO

Registration Details

NPI Number
1366943359
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2018 (8.4625468684782 yrs)
Last Updated
Jul 6, 2023
Licenses
PTL.0015442 (CO)
296749 (CA)
Sole Proprietor
Yes

Practice Information

Address
8301 E PRENTICE AVE STE 207
GREENWOOD VILLAGE, CO, 801112905
Browse CO providers · Browse ZIP 80111
Phone
3033228300
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in GREENWOOD VILLAGE, CO

Name Credential NPI
MR. ANDREW C FREE PT 1356322960
RYAN D PALKONER PT 1013992999
TERRA RAE SCOTT MSPT 1720040348
MICHAEL ARLIE KEIRNS D.P.T 1801843594
MS. MARY KATHRYN ABERNATHY MSPT 1831138163
JUDY L BURLINGAME DPT 1467493262
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.