| NPI | 1578953634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PONCAR Massage Therapist 303-332-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CO MT.0003476) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |