| NPI | 1174305601 |
|---|---|
| Doing Business As | THE WISH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRACI A. KIMBALL Owner 303-940-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208600000X Surgery |
| 1744R1102X Specialist, Research Study | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 224Y00000X Clinical Exercise Physiologist | |
| 163WC0400X Registered Nurse, Case Management | |
| 202D00000X Integrative Medicine | |
| 103K00000X Behavior Analyst | |
| 208100000X Physical Medicine & Rehabilitation | |
| 164W00000X Licensed Practical Nurse | |
| 171400000X Health & Wellness Coach | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WW0000X Registered Nurse, Wound Care | |
| 2086S0129X | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2026-03-16 |