Organization
AXIS SPORTS MEDICINE, LLC
Active
Other names
Axis Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FREEMAN (PRACTICE MANAGER)
(541) 728-6531
Entity
Organization
Contact information
Practice address
1281 BLUE RIVER PARKWAY, UNIT A, SILVERTHORNE, CO 80498
(970) 368-6054
(970) 368-6919
Mailing address
PO BOX 5584, FRISCO, CO 80443-5584
(970) 368-6054
(970) 368-6919
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31155171
—
CO
Enumeration date
11/02/2021
Last updated
03/08/2024
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