NPI | 1124231592 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE GOLD Owner 303-798-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4592) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 4592) |
225100000X Physical Therapist (Licence: CO 4592) | |
225700000X Massage Therapist (Licence: CO 4592) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2010-04-30 |