Organization
BRECKENRIDGE REHABILITATION SPECIALISTS LLC
Active
Other names
Breckenridge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN MICHAEL WELCH PT, DPT (OWNER)
(970) 485-3421
Entity
Organization
Contact information
Practice address
106 N. FRENCH ST, SUITE 250, BRECKENRIDGE, CO 80424-4869
(970) 485-3421
(970) 453-1960
Mailing address
106 N. FRENCH ST PO BOX 4869, SUITE 250, BRECKENRIDGE, CO 80424-4869
(970) 485-3421
(970) 453-1960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0010078
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780690768
NPPES PERSONAL NPI
CO
Enumeration date
10/16/2014
Last updated
10/27/2014
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