| NPI | 1184800757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MARIE KANIA President/Owner 719-385-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 31196) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2009-08-04 |