| NPI | 1265642243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN RYAN WILLIS Owner 720-977-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 5490) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |