| NPI | 1609154145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D LEAVITT Owner 303-904-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2015-12-11 |