| NPI | 1003209206 |
|---|---|
| Former Legal Business Name | SALIDA SPORT AND SPINE |
| Entity Type | Organization |
| Authorized Contact | SPENCER STOREY Owner/ CEO 719-598-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007256) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2018-05-30 |