Organization
AXIS SPORTS MEDICINE, LLC
Active
Other names
Axis Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FREEMAN (PRACTICE MANAGER)
(541) 728-6531
Entity
Organization
Contact information
Practice address
122 S MAIN ST., UNIT D, BRECKENRIDGE, CO 80442
(970) 453-3990
(970) 453-2365
Mailing address
PO BOX 5584, FRISCO, CO 80443-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30105099
—
CO
Enumeration date
12/06/2021
Last updated
03/08/2024
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