Organization
PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE FARRELL D.C. (CLINIC DIRECTOR)
(970) 226-1117
Entity
Organization
Contact information
Practice address
2244 E HARMONY RD STE 110, FORT COLLINS, CO 80528-3412
(970) 226-1117
(970) 226-0251
Mailing address
2244 E HARMONY RD STE 110, FORT COLLINS, CO 80528-3412
(970) 226-1117
(970) 226-0251
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CHR-5887
CO
111NR0400X
Rehabilitation Chiropractor
CHR-5953
CO
208D00000X
General Practice Physician
49380
CO
363LF0000X
Family Nurse Practitioner
990425
CO
363LF0000X
Family Nurse Practitioner
Primary
NP990032
CO
Other
Enumeration date
10/04/2010
Last updated
11/28/2012
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