| NPI | 1871962225 |
|---|---|
| Doing Business As | BOULDER SPORTS CHIROPRACTIC SC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L RADA Chiropractor 303-444-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 7287) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |