| NPI | 1245764950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W HESCH Owner 303-366-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO PTL-13230) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |