| NPI | 1457950271 |
|---|---|
| Doing Business As | STRUCTURA PREMIER BODYWORK |
| Entity Type | Organization |
| Authorized Contact | NANCY K POUR-BAKHTIAR Owner 719-215-8722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |