| NPI | 1336661198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE NOWAKOWSKI Owner 719-290-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007266) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |