| NPI | 1881924991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER KUMMROW Owner 970-430-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10532) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2019-07-18 |