| NPI | 1376031302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK W STICKLER Chiropractor/Owner 719-924-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6888) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |