Organization
ELK MOUNTAIN THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE UERLING (OFFICE MANAGER)
(970) 901-5642
Entity
Organization
Contact information
Practice address
427 BELLEVIEW, SUITE 202, CRESTED BUTTE, CO 81224-9694
(970) 349-5982
Mailing address
322 N MAIN ST, GUNNISON, CO 81230-2404
(970) 641-2001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78583586
—
CO
Enumeration date
02/21/2017
Last updated
03/08/2017
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