| NPI | 1467590968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BURKE Owner 303-778-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 6786) |
| 225100000X Physical Therapist (Licence: CO 8890) | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |