Integrated Sports & Spine LLC

NPI #1013200021 in Lafayette, Colorado

Provider Information

NPI Number: 1013200021
Entity Type: Organization
Organization Name: Integrated Sports & Spine LLC
Primary Specialty: Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date: May 24, 2011
Last Updated: Jan 19, 2012

Practice Location

Address: 380 EMPIRE RD STE 120
City: Lafayette
State: Colorado
ZIP Code: 80026-2677
Phone: (303) 926-7360

Authorized Official

Name: DR. MICHAEL B TRACY, M.D.
Title: PRESIDENT
Phone: (303) 926-7360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X	Primary

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