| NPI | 1063295392 |
|---|---|
| Doing Business As | GREENLIGHT CHIROPRACTIC & WELLNESS LAB |
| Entity Type | Organization |
| Authorized Contact | JORDAN ZIEGLER Doctor Of Chiropractic 719-321-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NR0400X Chiropractor, Rehabilitation | |
| 111NS0005X Chiropractor, Sports Physician | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-09-13 |