NPI | 1770772733 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY LYNN REEVES Owner, President 970-622-8775 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4756) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4772) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2010-04-28 |