Durango Sports Club, Inc.

NPI #1386728285 in Durango, Colorado

Provider Information

NPI Number: 1386728285
Entity Type: Organization
Organization Name: Durango Sports Club, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Oct 25, 2006
Last Updated: Dec 21, 2007

Practice Location

Address: 1600 FLORIDA RD
City: Durango
State: Colorado
ZIP Code: 81301-6836
Phone: (970) 385-6969

Authorized Official

Name: ANNE P JACKSON
Title: ADMINISTRATIVE DIRECTOR
Phone: (970) 385-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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