NPI | 1346608908 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNA LEA BRIDGEWATER Co Owner/Chiropractor 719-445-0806 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007379) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO EL.2786474) |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |