| NPI | 1962943837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRIFFITH CEO 303-378-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0013004) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-02-14 |