Revive Physical Therapy, LLC

NPI #1962044735 in Gunnison, Colorado

Provider Information

NPI Number: 1962044735
Entity Type: Organization
Organization Name: Revive Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 14, 2019
Last Updated: Jan 7, 2020

Practice Location

Address: 980 UTE LN
City: Gunnison
State: Colorado
ZIP Code: 81230-8704
Phone: (719) 251-8593

Authorized Official

Name: DR. TAREN COLLEEN FRAZIER, PT, DPT
Title: PHYSICAL THERAPIST
Phone: (719) 251-8593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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