OrganizationActive
Innovative Therapeutic Services, Inc
NPI 1467401091 · Rehabilitation Clinic/Center · Rocky Ford, CO
Provider details
- NPI number
- 1467401091
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Mittleider, President(303) 663-1259
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
900 S 12th St
Rocky Ford, CO 81067-2128
Phone: (719) 254-4202
Fax: (719) 254-4202
Approximate (ZIP-level) locationGet directions
Mailing address
497 Grey Squirrel Way
Franktown, CO 80116-8766
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.