| NPI | 1043515505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R GILLIES Owner/Chiropractor 719-634-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 6562) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2014-02-04 |