| NPI | 1588732655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAELYNN FLORES Office Manager 719-542-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health (Licence: CO 4092) |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health (Licence: CO 3389) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-02-16 |