Organization
JACKS AXE THROWING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROSSMANITH (OPERATIONS MANAGER/OWNER)
(719) 659-8946
Entity
Organization
Contact information
Practice address
1223 CUMBERLAND ST, COLORADO SPRINGS, CO 80907-4850
(719) 659-8946
Mailing address
1223 CUMBERLAND ST, COLORADO SPRINGS, CO 80907-4850
(719) 659-8946
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
05/07/2026
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