| NPI | 1891247615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO NICHOLS Owner/Therapist 719-623-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CO 10787) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |