| NPI | 1902177397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ WAKITA Vice President/Office Manager 970-224-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 2616) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |