| NPI | 1609102250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE MARIE GILLESPIE Tca 303-425-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4710) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5883) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2010-04-19 |