| NPI | 1275111973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PARTIDA Credentialing Specialist 303-598-5147 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |