| NPI | 1043196074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MIRACLE Vice President 303-955-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |