NPI | 1144849951 |
---|---|
Other Name | CRAFT PHYSIOTHERAPY & SPORTS PERFORMANCE TRAINING |
Entity Type | Organization |
Authorized Contact | JESSE RUSSELL MICKLEY MODICA Owner, Doctor Of Physical Therapy 720-771-1159 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
Enumeration Date | 2020-04-11 |
Last Update Date | 2020-04-11 |