| NPI | 1649797747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES FOUNTAIN President/Owner 970-699-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-06-21 |