| NPI | 1366171654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO NELL M SHAW CEO, Chief Clinician 970-658-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 175F00000X Naturopath | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |