Organization
ALL SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ROSE RALSTON PT (OWNER)
(303) 805-9375
Entity
Organization
Contact information
Practice address
18700 E PLAZA DR, PARKER, CO 80134-9494
(303) 805-9375
(303) 805-9358
Mailing address
12848 S SILVER PLUME ST, PARKER, CO 80134-7484
(303) 805-9375
(303) 805-9358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6158
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6158
STATE LICENSE
CO
Enumeration date
04/12/2007
Last updated
09/07/2007
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