Healthcare Provider Details

I. General information

NPI: 1699455469
Provider Name (Legal Business Name): VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DR STE 190
FRISCO CO
80443-5868
US

IV. Provider business mailing address

2472 PATTERSON RD
GRAND JUNCTION CO
81505-1076
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-0888
  • Fax:
Mailing address:
  • Phone: 970-241-0202
  • Fax: 970-245-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN A KINLUND
Title or Position: COO
Credential:
Phone: 970-477-4456