| NPI | 1154662591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDRA KAY LOVATO Physical Therapist/Owner 719-651-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 2201) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |