| NPI | 1831749183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MCGAUGHEY Owner 970-829-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-12-17 |