| NPI | 1639750276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY GEBHARDT Cco 970-221-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |