| 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 |