| NPI | 1164878021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEAVITT Owner 303-904-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0174570) |
| 363L00000X Nurse Practitioner (Licence: CO 0000394) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2018-06-20 |