Impact Sports Medicine PC
NPI #1306927496 in Broomfield, Colorado
Provider Information
- NPI Number
- 1306927496
- Entity Type
- Organization
- Organization Name
- Impact Sports Medicine PC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 29, 2014
Practice Location
- Address
- 3303 W 144TH AVE
- Address 2
- SUITE 105
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-9464
- Phone
- (303) 446-2200
Authorized Official
- Name
- MR. KEITH ERIC CHRISTIANSSEN, PT ATC MTC
- Title
- OWNER
- Phone
- (303) 446-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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