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Organization
ROCKY MOUNTAIN SPINE & SPORT, LLC
Active
Organization
ROCKY MOUNTAIN SPINE & SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WAYNE KRELL PT (OWNDER)
(303) 702-7377
Entity
Organization
Contact information
Practice address
15530 W 64TH AVE, UNIT E-F, ARVADA, CO 80007-6874
(303) 424-4589
(303) 424-4632
Mailing address
15530 W 64TH AVE, UNIT E-F, ARVADA, CO 80007-6874
(303) 424-4589
(303) 424-4632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10646
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C477678
PHYSICAL THERAPY
CO
Enumeration date
02/08/2010
Last updated
02/08/2010
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