| NPI | 1871287441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK JACOB KOKMEYER CEO, Owner 970-471-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |