| NPI | 1093456808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DEAN HASSE CEO 303-929-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-01-18 |