| NPI | 1427490754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA BARRE Owner 303-431-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 41622) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2019-08-08 |