| NPI | 1336649789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRYN L FARRELL CFO 970-226-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |