| NPI | 1336736636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JAECKEL Owner 303-717-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-04-19 |