| NPI | 1548206691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY JUNTTONEN Owner/Physical Therapist 970-385-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4197) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-04-03 |