Organization
PREMIERE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY EYTEL MSPT (PRESIDENT)
(970) 485-0062
Entity
Organization
Contact information
Practice address
97 RACHEL LANE, BRECKENRIDGE, CO 80424
(970) 485-0062
Mailing address
PO BOX 1555, BRECKENRIDGE, CO 80424-1555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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