# ROCKY MOUNTAIN SPINE & SPORT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730319542
- **Authorized official:** ERIC WAYNE KRELL DPT (PT/OWNER)
- **Authorized official phone:** (303) 792-7377

## Contact information

- **Practice address:** 9995 PARK MEADOWS DRIVE, LONE TREE, CO 80124-9995
- **Practice address phone:** (303) 792-2334
- **Practice address fax:** (303) 792-3340
- **Mailing address:** 9995 PARK MEADOWS DRIVE, LONE TREE, CO 80124-9995
- **Mailing address phone:** (303) 792-2334
- **Mailing address fax:** (303) 792-3340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 7115 | CO | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/15/2009