| NPI | 1851348239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JAMES EDWARDS Office Manager 970-221-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 225100000X Physical Therapist (Licence: CO 1910) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-07-20 |