| NPI | 1316676216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE GEBHARDT CEO 970-221-1201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |