| NPI | 1851789838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE RYAN KOKOSZKA Owner 303-635-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 5110) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5110) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |