| 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 |