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Contact Information

MUSCLE RESTORATION, INC.
4532 MCMURRY AVE UNIT 204
FORT COLLINS, CO80525-8022
 Phone: 402-363-1864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MUSCLE RESTORATION, INC.

NPI Number 1669354817
LBN Legal business name MUSCLE RESTORATION, INC.
Authorized official JONAH OTTE - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2025
Last updated 07/22/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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