NPI | 1730226812 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ROY WOODARD President 303-989-5740 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 3677) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3572) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |