Organization
IMPACT SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ERIC CHRISTIANSSEN PT ATC MTC (OWNER)
(303) 446-2200
Entity
Organization
Contact information
Practice address
3303 W 144TH AVE, SUITE 105, BROOMFIELD, CO 80023-9464
(303) 446-2200
(303) 446-2201
Mailing address
PO BOX 270217, LOUISVILLE, CO 80027-5003
(303) 446-2200
(303) 446-2201
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/29/2014
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