Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1003605742 |
| LBN Legal business name | COLORADO RESTORE MUSCLE & JOINT LLC |
| Authorized official | TARRYN FARRELL - (CFO/MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/30/2025 |
| Last updated | 04/30/2025 - More than a year ago |
| Identifiers | n/a |
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