| NPI | 1205974870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN S TROUT Managing Member 970-403-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 7984) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2023-09-13 |