| NPI | 1306924659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ANN TUCKWELL Owner 303-300-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 4164) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |