| NPI | 1578070330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN JACKSON Consultant 970-749-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 6873) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |