| NPI | 1396255568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL MINEN Owner 303-736-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CO CHR.0007584) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2019-06-07 |