| NPI | 1144963133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L JACOBSON Officer/Administrator 970-985-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-05-15 |