| NPI | 1225715345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R JOHNSON Physical Therapist/CEO 970-208-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-09-25 |