| NPI | 1447762745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ROBERT PRIMEAU Physical Therapist 303-901-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL11361) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-12-02 |