Organization
2ND MILE PERFORMANCE LLC JOSHUA CULLEN MERRICK SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CULLEN MERRICK PT, DPT (PHYSICAL THERAPIST)
(303) 916-3310
Entity
Organization
Contact information
Practice address
3372 SCHIEFFELIN RD, FORT GARLAND, CO 81133
(303) 916-3310
Mailing address
3372 SCHIEFFELIN RD, FORT GARLAND, CO 81133
(303) 916-3310
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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