NPI | 1083067540 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY WILLIAM MCCLOSKEY Owner 970-241-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6250) |
Additional Taxonomies | 171100000X Acupuncturist |
Enumeration Date | 2016-07-20 |
Last Update Date | 2019-04-01 |