Organization
NORTHEN COLORADO SPINE AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE RILEY DPT (PHYSICAL THERAPIST)
(303) 827-8785
Entity
Organization
Contact information
Practice address
1905 W 8TH ST STE 116, LOVELAND, CO 80537-5281
(303) 827-8785
(303) 684-0481
Mailing address
3417 MOUNTAINWOOD LN, JOHNSTOWN, CO 80534-4135
(303) 827-8785
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/15/2021
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