| NPI | 1760868319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM POPPE President 970-596-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CO 8225) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-08-09 |