| NPI | 1265129134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRYN FARRELL CFO 970-631-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 111N00000X Chiropractor | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| 247100000X Radiologic Technologist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |