| NPI | 1588834121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE CORNING CREAGER Owner 970-532-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 3219) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |