| NPI | 1558666586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE SCHOENHERR Owner 970-690-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CO 1575) |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-08-04 |