Organization
AXIS SPORTS MEDICINE, LLC
Active
Other names
Axis Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FREEMAN (PRACTICE MANAGER)
(970) 406-2559
Entity
Organization
Contact information
Practice address
105 EDWARDS VILLAGE BLVD UNIT 201, EDWARDS, CO 81632-3211
(970) 855-0492
(970) 855-0493
Mailing address
PO BOX 5584, FRISCO, CO 80443-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35105127
—
CO
Enumeration date
12/06/2021
Last updated
12/06/2021
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