| NPI | 1770799744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ELAINE VIK Co Owner 719-547-1979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CO4489) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CO4091) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-09-30 |