NPI | 1790164515 |
---|---|
Entity Type | Organization |
Authorized Contact | REILLY JERNIGAN Owner 970-596-7585 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU-0001867) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT-0004081) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |