| NPI | 1053577759 |
|---|---|
| Doing Business As | IMPACT SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEITH E CHRISTIANSSEN CEO 303-902-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-09-30 |