| Organization Name: | INTEGRAL PHYSICAL THERAPY PLLC |
| NPI Number: | 1891151627 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER EDMUNDSON (OWNER/ PHYSICAL THERAPIST) |
| Mailing Address: | 11169 E I25 Frontage Rd Suite B Firestone |
| State: | CO US |
| Postal Code: | 805045276 |
| Phone Number: | 7206000370 |
| Fax Number: | 7206000374 |
| NPI Enumeration Date: | 01/08/2016 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 9785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |