| NPI | 1245566066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE CARLET Corporate Officer 970-223-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5502) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |