Organization
SOUTHERN COLORADO HEALTH & REHAB
Active
Parent organization
SOUTHERN COLORADO HEALTH & REHAB LLC
Other names
Momentum Physical Therapy of Pueblo
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN COLORADO HEALTH & REHAB LLC
Authorized official
BLAINE STIMAC MSPT (MANAGING MEMBER)
(406) 756-1128
Entity
Organization
Contact information
Practice address
387 E ENTERPRISE DR STE 160, PUEBLO, CO 81007-8403
(719) 924-8912
(719) 696-9115
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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