| NPI | 1790055242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED NEHRING Owner 720-261-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CO 11282) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 11282) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-08-10 |