| NPI | 1770506693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID MANDSAGER Physical Therapist/Owner 970-391-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7286) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |