| NPI | 1710372123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ERIC CHRISTIANSEN Owner 303-902-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |