| Organization Name: | UP & AT 'EM THERAPY STAFFING LLC |
| NPI Number: | 1174864359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS PETERSON (CO-OWNER) |
| Mailing Address: | 1012 Main St Alamosa |
| State: | CO US |
| Postal Code: | 811012445 |
| Phone Number: | 7194803438 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |