| NPI | 1063571883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LYN WELFEL President 719-434-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2025-03-18 |