Farm to Treatment Table, INC

NPI #1861916827 in Edgewater, Colorado

Provider Information

NPI Number: 1861916827
Entity Type: Organization
Organization Name: Farm to Treatment Table, INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 5354 W 25TH AVE
City: Edgewater
State: Colorado
ZIP Code: 80214-1244
Phone: (303) 931-6478

Authorized Official

Name: BECKY KELLOGG, MS PT
Title: OWNER/PRESIDENT
Phone: (303) 931-6478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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