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Organization

MUSTARD SEED WELLNESS, PC

Active
Other names
IMPACT SPORTS MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH E CHRISTIANSSEN PT, ATC, MTC (CEO)
(303) 902-5456
Entity
Organization

Contact information

Practice address
11025 DOVER ST, SUITE 400, WESTMINSTER, CO 80021-5570
(303) 902-5456
Mailing address
PO BOX 270217, LOUISVILLE, CO 80027-5003
(303) 902-5456

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
08/01/2008
Last updated
09/30/2008
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