| NPI | 1083173850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS BARNETT Owner/Operator/Clinician. 719-229-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-06-28 |