| NPI | 1972040996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIC BUECHLER Owner 719-659-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO MT0010450) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |