| NPI | 1720288996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY FELDMAN Billing Manager 303-694-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-06-02 |