Provider Demographics
NPI:1881196699
Name:VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type:Organization
Organization Name:VAIL-SUMMIT ORTHOPAEDICS PC
Other - Org Name:VAIL SUMMIT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KINLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-477-4456
Mailing Address - Street 1:PO BOX 1303
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-1303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DRIVE
Practice Address - Street 2:SUITE 190
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-9998
Practice Address - Country:US
Practice Address - Phone:970-668-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies