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Organization

MUSCLE RESTORATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONAH OTTE (OPERATIONS MANAGER)
(970) 449-9757
Entity
Organization

Contact information

Practice address
4532 MCMURRY AVE UNIT 204, FORT COLLINS, CO 80525-8022
(402) 363-1864
Mailing address
4532 MCMURRY AVE UNIT 204, FORT COLLINS, CO 80525-8022
(402) 363-1864

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
225700000X
Massage Therapist

Other

Enumeration date
07/21/2025
Last updated
07/22/2025
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