| NPI | 1699364463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SWANSON Office Manager 970-689-3236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |