Organization
INTEGRATIVE PHYSIOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER KUMMROW DPT (OWNER)
(970) 430-7055
Entity
Organization
Contact information
Practice address
2020 S. COLLEGE AVE STE C1, FORT COLLINS, CO 80525
(970) 430-7055
(888) 972-2133
Mailing address
2020 S. COLLEGE AVE STE C1, FORT COLLINS, CO 80525
(970) 430-7055
(888) 972-2133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10532
CO
225700000X
Massage Therapist
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
01/12/2010
Last updated
07/18/2019
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