Healthcare Provider Details

I. General information

NPI: 1255834818
Provider Name (Legal Business Name): VAIL SUMMIT PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1252 COUNTY ROAD 8
DILLON CO
80435
US

IV. Provider business mailing address

PO BOX 1303
FRISCO CO
80443-1303
US

V. Phone/Fax

Practice location:
  • Phone: 970-262-6106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CARI THOMASON
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 970-241-0202