| NPI | 1336884337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL SULLIVAN Owner 720-308-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-09-06 |