| NPI | 1093552192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GLENN President 303-777-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |