| NPI | 1790323632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDD WATTENBARGER Owner 303-995-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2021-02-22 |