NPI | 1396250924 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BRYNESTAD - HEUSER Owner 719-387-9211 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007467) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2018-03-17 |