| NPI | 1851776694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MCCAULEY Provider 970-691-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA 43805) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37416) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |