Organization
BACKCOUNTRY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RUNYON PT, DPT (OWNER)
(719) 285-9670
Entity
Organization
Contact information
Practice address
2660 VICKERS DR, COLORADO SPRINGS, CO 80918-1941
(719) 285-9670
Mailing address
332 N MEADE AVE, COLORADO SPRINGS, CO 80909-5640
(217) 371-3008
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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