| NPI | 1811713316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARCHESE Owner 970-609-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-12-31 |