# OSTEOPATHIC TREATMENT CENTER P C

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

## Provider details

- **NPI number:** 1487636247
- **Authorized official:** MICHELLE JENKINS (OFFICE MANAGER)
- **Authorized official phone:** (970) 240-8822

## Contact information

- **Practice address:** 697 1675 RD, DELTA, CO 81416-3462
- **Practice address phone:** (970) 874-9595
- **Practice address fax:** (970) 240-8823
- **Mailing address:** 697 1675 RD, DELTA, CO 81416-3462
- **Mailing address phone:** (970) 874-9595
- **Mailing address fax:** (970) 240-8823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 30332 | CO | Yes |
| 208D00000X | General Practice Physician | 30332 | CO | — |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 10/04/2013