# GLACIER CHILL ONSITE & MOBILE CRYOTHERAPY

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

## Provider details

- **NPI number:** 1295413334
- **Authorized official:** DARREN PRICE (MANAGING MEMBER)
- **Authorized official phone:** (859) 382-2009

## Contact information

- **Practice address:** 13455 SUNRISE VALLEY DR UNIT 2016, HERNDON, VA 20171-3392
- **Practice address phone:** (859) 382-2009
- **Mailing address:** 13455 SUNRISE VALLEY DR UNIT 2016, HERNDON, VA 20171-3392
- **Mailing address phone:** (859) 382-2009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023