| NPI | 1225615115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIA RENEE HIGHLEY Owner/Authorized Official 303-904-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-10-10 |