| NPI | 1548348956 |
|---|---|
| Other Name | ACTIVE CHIROPRACTIC WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | CANDICE TELAYA KOCH President Manager 719-636-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5728) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2016-12-27 |