| Organization Name: | FRONTIER MOBILE THERAPY PLLC |
| NPI Number: | 1013186592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC MUNDT (OWNER) |
| Mailing Address: | 7180 E Orchard Rd Ste 110 Centennial |
| State: | CO US |
| Postal Code: | 801111725 |
| Phone Number: | 3037701305 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2008 |
| NPI Last Update Date: | 03/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 7875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |