| NPI | 1417255324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI MICHELLE BAHNEMANN Provider/President 719-258-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6355) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-05-01 |