| NPI | 1558620617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A PRATT Owner/Chiropractor 719-696-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |