| NPI | 1861892127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREKE EWTON Resident Practitioner 970-682-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0016731) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2014-08-23 |