# OSTEOPATHIC PAIN AND REHABILITATION MEDICINE, A PROFESSIONAL LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164820916
- **Authorized official:** DR. BRIAN KEVIN MCINTYRE D.O. (PRESIDENT/CEO)
- **Authorized official phone:** (720) 695-7288

## Contact information

- **Practice address:** 3000 CENTER GREEN DR, \#130, BOULDER, CO 80301-2364
- **Practice address phone:** (720) 695-7288
- **Practice address fax:** (888) 388-8602
- **Mailing address:** 3000 CENTER GREEN DR, \#130, BOULDER, CO 80301-2364
- **Mailing address phone:** (720) 695-7288
- **Mailing address fax:** (888) 388-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | DR.0052372 | CO | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014