| NPI | 1114296068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KOHM Owner 720-352-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 5050) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2016-08-18 |