Organization
PHOENIX FITNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN HUNSBERGER (PRESIDENT AND CEO)
(970) 510-5121
Entity
Organization
Contact information
Practice address
1460 E VALLEY RD, SUITE 221, BASALT, CO 81621-8411
(970) 510-5121
(970) 510-5122
Mailing address
1460 E VALLEY RD, SUITE 221, BASALT, CO 81621-8411
(970) 510-5121
(970) 510-5122
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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