Organization
PERFORMANCE SPORTSPHYSIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMOKI KEN USUI PT, DPT (OWNER)
(720) 548-0068
Entity
Organization
Contact information
Practice address
1325 DRY CREEK DR STE 307, LONGMONT, CO 80503-7751
(720) 548-0068
Mailing address
16321 GRAHAM PEAK WAY, BROOMFIELD, CO 80023-8326
(720) 548-0068
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/28/2024
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