Organization
FORT COLLINS FUNCTIONAL MOVEMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA ERIN DEBORD PT (OWNER)
(970) 492-5619
Entity
Organization
Contact information
Practice address
147 W OAK ST, UNIT 111, FORT COLLINS, CO 80524-2824
(970) 492-5619
Mailing address
234 BISHOP ST, FORT COLLINS, CO 80521-1708
(970) 492-5619
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8810
CO
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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