| NPI | 1679195887 |
|---|---|
| Doing Business As | ROCKY MOUNTAIN SPINE AND SPORT |
| Entity Type | Organization |
| Authorized Contact | MARK J CONKLIN President 303-274-7321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |