Evergreen Sport & Spine Physical Therapy PC

NPI #1346208659 in Conifer, Colorado

Provider Information

NPI Number: 1346208659
Entity Type: Organization
Organization Name: Evergreen Sport & Spine Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: May 3, 2006
Last Updated: Apr 18, 2018

Practice Location

Address: 26719 PLEASANT PARK RD UNIT 220
City: Conifer
State: Colorado
ZIP Code: 80433-7756
Phone: (303) 838-1970

Authorized Official

Name: PAUL PETITT
Title: PRACTICE MANAGER
Phone: (303) 670-4802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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