NPI | 1306171228 |
---|---|
Doing Business As | PHYSICAL DIMENSIONS INTEGRATIVE HEALTH GROUP OF MEAD |
Entity Type | Organization |
Authorized Contact | TYLER CORBIN FOWLER Owner 303-925-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5889) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5894) |
225100000X Physical Therapist | |
Enumeration Date | 2009-10-09 |
Last Update Date | 2010-12-12 |