| 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 |