| NPI | 1710360011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN DAVES WITT Owner 970-494-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007158) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002023) |
| 225100000X Physical Therapist (Licence: CO PTL.0008810) | |
| 225700000X Massage Therapist (Licence: CO MT.0017762) | |
| Enumeration Date | 2015-07-05 |
| Last Update Date | 2015-07-05 |