| NPI | 1134423262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BURRELL MATHEWS Owner 719-203-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 5752) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |