Organization
DYNAMIC SPORT AND SPINE
Active
Organization
DYNAMIC SPORT AND SPINE
Active
Other names
Forever Fit
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KRISTEN ROSSO DPT (OWNER)
(303) 949-6453
Entity
Organization
Contact information
Practice address
2701 SE OTIS CORLEY DR STE 11, BENTONVILLE, AR 72712-3991
(479) 235-2545
(479) 235-2546
Mailing address
2701 SE OTIS CORLEY DR STE 11, BENTONVILLE, AR 72712-3991
(479) 235-2545
(479) 235-2546
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
8295
CO
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71789715
—
CO
Enumeration date
01/16/2006
Last updated
12/24/2025
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