# BUILD SPORTS PERFORMANCE LAB AND PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1750928495
- **Authorized official:** ALLISON NICOLE KEY (OFFICE ADMINSTRATOR)
- **Authorized official phone:** (720) 710-8136

## Contact information

- **Practice address:** 625 MAIN ST, LOUISVILLE, CO 80027-1893
- **Practice address phone:** (720) 710-8136
- **Mailing address:** 625 MAIN ST, LOUISVILLE, CO 80027-1893
- **Mailing address phone:** (720) 710-8136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 12/02/2019
