| NPI | 1104063775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNELLE NUSPL SHAW Gen PT R 303-514-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8650) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |