Organization
COMPETITIVE EDGE PHYSICAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A. WITT PT (PRESIDENT / OWNER)
(970) 331-5502
Entity
Organization
Contact information
Practice address
247 RING NECK, EAGLE, CO 81631
(970) 328-5549
(970) 328-5776
Mailing address
PO BOX 955, EAGLE, CO 81631-0955
(970) 331-5502
(970) 328-5776
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O9639373
—
CO
Enumeration date
08/09/2012
Last updated
01/13/2017
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